Forms

AmeriCorps Member Forms

Enrollment Forms:

• Enrollment Checklist
• Enrollment Form
• Member Agreement Authorization and Certification
• Site Agreement/Member Development Plan
• Criminal Record Check
• Enrollment Package

Time Logs and Great Stories:

• 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 Evaluation (900 hr members only)

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

Certifying Official Forms:(for Campus Partners Only)

• Enrollment Form Part 3
• Exit Form Part 2

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