Forms

AmeriCorps Member Forms

Enrollment Forms:

• Enrollment Checklist
• Enrollment Form
• Member Agreement Authorization
• Site Agreement/Member Development Plan (helpful tips on completing agreement)
• Criminal Record Check Verification Form
• Criminal Record Check Authorization Form
• Enrollment Package

Time Logs:

• Time Log
• Time Log (writable)
• Time Log

• 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

Certifying Official Forms:(for Campus Partners Only)

• Enrollment Form Part 3
• Exit Form Part 2

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