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

 

• Student Teaching Verification Form
• Enrollment Package for Student Teachers

Time Logs and Great Stories:

• Time Log
• Time Log
• Cumulative Time Log

• Great Stories Submission (online)

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 14) 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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