Forms

AmeriCorps Member Forms

Enrollment Forms:

Enrollment Checklist

Enrollment Form

Member Agreement Authorization

Site Agreement/Member Development Plan

Criminal Record Check Verification Form

Criminal Record Check Authorization Form

Enrollment Package

Time Logs:

Time Log

Time Log (writable)

Time Log

*NOTE: All time logs must be signed and dated by the member and site supervisor within 30 days of the end of the service month (ex. June time log signed and dated by July 30th, etc.)

Cumulative Time Log

Mid-Term Site Supervisor Evaluation:

Mid-Term 900-Hour Member Service Evaluation

Exit Forms:

Exit Checklist

Exit Form

End-of-Term Site Supervisor Evaluation

Member Program Evaluation* (online)

* NOTE: Be sure to print out the verification sheet (slide 8) for your exit paperwork.

NOTE: It is very important for a member to fully complete their exit paperwork as soon as they complete their term of service and are highly encouraged to complete their term of service and exit paperwork before their completion date or risk losing their education award