Forms and Important Dates for Members & Sponsors

Download the AmeriCorps application here!

For all Selected Candidates:

Pre-Service Paperwork to read and/or complete and return. (Please let us know if you would like the forms in Word Format.)

Pre-Service Paperwork Checklist Updated 2019

General Information for FT Member Applicants 2019

Member Agreement 2019-2020 Service Term (We will complete this together. Please read.)

AmeriCorps Enrollment Form

Medical Release (Emergency Notification)

AmeriCorps Health Plan Options Form

Childcare Agreement

Loan Forbearance and Info

High School Diploma Agreement

Criminal Background Check Authorization Form

AmeriCorps Application Certification Form

Ed Award Eligibility Form

Direct Deposit Authorization Form

Personal Information Form

Mid-Term Evaluations

Midterm Evaluation of Member (to be filled out by Supervisor)

Midterm Self Evaluation (to be filled out by Member)

Midterm Evaluation of Placement Site (to be filled out by Member)

Reporting

Site Report Questionnaire Site Report Questionnaire (pdf)

Site Report Questionnaire (doc)

In Kind

AC In Kind Instructions and Information Updated 2015

In Kind Worksheet (excel)

Reflection

Adam Davis – What We Don’t Talk About When We Don’t Talk About Service

Questions for Reflection-Davis essay

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Exit Paperwork

AmeriCorps Trust Exit Form Please complete Section 1 of this form online also. (my.americorps.gov).

Final Evaluation of Self (To be filled out by member)

Final Evaluation of Placement Site (To be filled out by member)

Final Evaluation of Member (to be filled out by site supervisor and shared)

Exit Interview Form