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FOIA Number: 2013-0661-F (3) FOIA MARKER This is not a textual record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. Collection/Record Group: Clinton Presidential Records Subgroup/Office of Origin: Americorps Series/Staff Member: General Files Subseries: OA/ID Number: 24238 FolderID: Folder Title: [Corporation for National & Community Service - Appendices] [2] Stack: Row: Section: Shelf: Position: S 66 1 1 1 Sample Forest Service Financial Assistance Announcement General Guidance The following are recommendations for the attached draft "financial assistance announcement" for 3rd party AmeriCorps programs. 1. All Forest Service units that intend to have a 3rd party administer and manage their approved AmeriCorps programs must do so competitively and use a financial assistance announcement. This is not a procurement, nor is it a participating or challenge cost-share agreement process. 2. The attached draft is a "canned" announcement to assist the field in getting the document out to prospective bidders. It should be modified to meet individual units unique situations and circumstances. We highly recommend that it be sent out before January 1, 1995. 3. The following are some recommendations by section of the document (some are in bold and/or all CAPS) a. Description of the program -- Leave as is except: paragraph 2, insert overall name of your unit project and indicate either residential or non-residential. Last sentence, include a list of some of the specific types of projects. b. Eligible Applicants -- Leave as is except: indicate residential or non-residential paragraph 1. Paragraph 2 you can change the 25% (we recommend higher), but the 15% of the living allowance requirement is a MUST if the 3rd party is going to administer and manage the entire program. C. Specific Americorps Projects -- Indicate name of unit, resident or non-resident, location of site, and number of full and part-time Members you anticipate. Then insert your revised and quantified objectives from your concept papers. d. Program Requirements -- Modify as you think appropriate. We highly recommend you include item 7, 15, 17, and 18. Number 11 is optional dependent on how you want to run your program. If they process living allowance, they need 15% in-cash contribution plus item 7. e. The Forest Service Shall Provide -- Modify as you think appropriate. You may want to move item 7 to what the program requirements for the applicant to provide dependent on your program. f. Evaluation Criteria -- Indicate resident or non-resident program. Add additional ones if needed. Appendix C g. Submission of Applications -- We recommend you leave as is. Jan McCluskey provided you hard copies of the forms in Atlanta. Your Grants and Agreements personnel should also have copies. We hope this helps you with this process. Please rely on your Forest and Regional Fiscal and Grants and Agreements personnel as a first step. USDA FOREST SERVICE FINANCIAL ASSISTANCE ANNOUNCEMENT FOR THE AMERICORPS PROGRAM DESCRIPTION OF THE PROGRAM The National and Community Service Act of 1993, Public law 103-82, was signed into law by President Clinton on September 12, 1993 and provided legislative authority for the establishment of the Corporation for National and Community Service and a variety of National Service Programs, one of which is titled AmeriCorps. AmeriCorps is a national service program that directly and demonstrably addresses the nation's education, human, public safety, and environmental needs at the community level. It offers opportunities for Americans age 17 and older to work in partnerships with communities to provide real and measurable service to meet these needs while earning education benefits and building an ethic of service, responsibility, and citizenship. Up to 20,000 Americans of all backgrounds served full-time or part-time in the program the first year, beginning in the fall of 1994. The (insert overall title for Forest project) project, is a residential or non-residential, co-educational, national service program for Americans age 17 and older. The objective of this program is to provide training, education, and service opportunities for Americans from urban as well as small rural communities. The program will allow them to experience working with natural resources on a National Forest and other Federal lands, to provide service to local communities and counties, to develop a strong work ethic, learn to work with others, and learn about the environment around them. The projects will include a variety of forestry related resource work, such 'as (insert as specifically as possible the project anticipated) You are invited to submit a financial assistance application for participation in the Forest Service AmeriCorps program. The Forest Service will recruit a socio-economically diverse group of AmeriCorps Members, with a goal for enrollment that includes an equal number of females and males of all races, classes, and physical abilities. Members will work at least a 40 hour work week and will be expected to take part in the entire program, both work and non-work related aspects. Participants will furnish their own work clothing, including long sleeved shirts, pants, and boots that lace above the ankle, and sleeping bags or other bedding as well as personal items. ELIGIBLE APPLICANTS Eligible applicants are State or local governments, governing bodies of any Indian Tribes, or nonprofit organizations that are capable of coordinating and managing a residential or non-residential national service program in a natural or cultural resource setting for individuals ages 17 and older. Applicants must be able to provide a mix of: work experience, basic social and life skills, qualified supervision, education, and training. A matching contribution of at least 25 percent or more for the proposed project is desirable. Matching contributions may include cash, in-kind USDA/AmeriCorps Operations Manual 193 C services, volunteer services, and in-cash contributions such as services, facilities, materials, or equipment. At least 15% of each Members $7,660 living allowance must be paid to the Forest Service in cash by applicant if they are fully administering and managing the program. SPECIFIC AMERICORPS PROJECTS The USDA Forest Service, National Forest residential or non- residential camp will be located . A total of full-time and part-time will be hired, dependent on available funding and partnerships, to accomplish the objectives listed below. JUST INSERT YOUR REVISED QUANTIFIABLE OBJECTIVES FROM CONCEPT PAPERS PROGRAM REQUIREMENTS FOR ALL PROJECTS, THE APPLICANT PROVIDES, AT A MINIMUM: 1. A qualified and diverse staff to provide all residential supervision for AmeriCorps Members on a 24 hour per day schedule for the full-time projects. All staff must have a current Standard Red Cross card, or equivalent. 2. Qualified drivers and vehicles capable of safely transporting Members, tools, and equipment on a variety of road standards in support of all project activities. Crews will be transported in accordance with State laws. Separation must be maintained between tools and passengers. 3. A variety of planned and organized evening activities for Members. Activities can include such things as sports, games, crafts, reading groups, and presentations by outside guests and speakers. Weekend recreational activities need to be offered for seven day camps. 4. An on-the-ground representative who shall be available at all times and have authority to represent the applicant. 5. The completion of all assigned work projects to the specifications and standards of the Forest Service within an 1,812 hour service year (9-12 months and 1700 actual working hours) for full-time Members and 900 actual working hours over 9-12 months for part-time Members. 6. Written reports of the project operations on a quarterly basis. The reports shall include an evaluation of staff, members, health and safety matters, food service, physical facilities, education, work projects (including a summary of Member time spent on each project), the evening programs, vehicles, expenditures, and other items requested by the Forest Service. 7 Workers Compensation, liability and medical insurance coverage for all AmeriCorps Members as well as applicant employees. 8. Develop and publish rules and procedures that AmeriCorps Members must adhere to. As a minimum these rules and procedures shall prohibit the following: 194 Alcoholic beverages Drugs or narcotics, except as authorized by a licensed physician Firearms Private vehicles, except as authorized by the project director. Discipline must be consistent and in keeping with the overall AmeriCorps Program. The Forest Service must be notified prior to Members being discharged from the program for disciplinary, medical, or administrative reasons. 9. A safety and emergency plan to cover all activities, including work projects and off-work hours. 10. Program identity materials such as patches, decals, and tee-shirts with Forest Service provided insignia. 11. Processing of a living allowance for Members. 12. Pre-project orientation for Members. 13. A means of measuring the impact the program has on Members, relating to such things as knowledge gained and changes in behavior. 14. Members must be hired and orientation started by: . 15. Day care services for Members with dependents under 13 years of age. 16. A structured and high quality training and education program including a GED program for Members without high school diplomas, that does not exceed 20% of the Members' time. 17. Qualified crew supervisors with at least two years experience serving on or supervising crews on a wide variety of natural resource and community construction, maintenance, and improvement projects. 18. Successful applicants will be provided with and be expected to follow the general guidelines for the AmeriCorps program as outlined in the Corporation for National and Community Service "Program Director's Handbook, Questions and Answers About Your AmeriCorps medusa Grant", and the "USDA Americorps Operations Manual." USDA/AmeriCorps Operations Manual 195 THE FOREST SERVICE SHALL PROVIDE 1. Those project materials, tools, supplies, and special equipment needs not proposed by the applicant. 2. Suitable work projects. 3. An on-the-ground representative who shall be available to represent the Forest Service. 4. A job hazard analysis for the general type of work projects to be done by Members. 5. Hard hats, gloves, water bottles, and other safety equipment for Members as identified in the job hazard analysis. 6. Forest Service radios and training in radio procedures. 7. A barracks that will accommodate sleeping, showers, recreation room, cooking and eating area, rest rooms, etc., and storage facilities for tools and equipment. You may want to include this in the list that the 3rd party provides depending on your circumstances - just move to that section. EVALUATION CRITERIA 1. Demonstrated experience and performance in managing resident or non- resident national service programs. 2. Staffing. 3. Matching contributions from Federal and non-Federal sources such as cash, non-cash contributions such as services, facilities, materials, or equipment, in-kind services, and volunteer services. 4. Overall cost effectiveness of application. 5. Quality of training and education programs. 6. Ability to provide liability and health insurance, workers compensation, child care, and the 15% in-cash matching funds for Member living allowances. 196 STATE COMMISSION EXECUTIVE DIRECTORS Alabama Connecticut Ms. Kim Cartron Mr. Matthew Cookson Executive Director Executive Director Alabama Nat'l & Community ServiceState Commission Conn. Commission on National & Community Service 600 Dexter Ave. Dept. of Higher Education Montgomery, AL 36130 61 Woodland St. Phone 205-242-7174 Fax 205-242-2885 Hartford, CT 06105 Phone 203-566-6154 Fax 203-566-7865 Alaska Mr. Jim Sinnett Delaware Executive Director Ms. Vollie Melson Alaska State Community Service Commission Executive Director Dept. of Community and Regional Affairs Deleware Commission on Nat'l & Community Service 333 W. 4th Ave., Suite 222 Carvel State Office Building - 4th Floor Anchorage. AK 99501 820 North French Street Phone 907-269-4611 New Castle, DE 19720 Fax 907-269-4539 Phone 302-577-6650 Fax 302-577-2383 Arizona Mr. Jaime Molera Florida Executive Director Dr. Chris Gilmore Arizona National and Community Service Commission Executive Director 1700 West Washington St., 3rd Floor Florida Governor's Commission on Community Service Phoenix, AZ 85007 1101 Gulf Breeze Parkway. Box 188 Phone 602-542-3461 Fax 602-542-3520 Gulf Breeze, FL 32561 Arkansas Phone 904 934-4000 Fax 904-934-4000 Ms. Ann Kamps Georgia Executive Director Ms. Lynn Thomton Arkansas Commission on Nat'l and Community Service Executive Director Executive Director 2020 Equitable Building P.O. Box 1437, Slot 1300 100 Peachtree St. Little Rock, AR 72203 Atlanta, GA 30303 Phone 501-682-6724 Fax 501-682-6752 Phone 404-657-7827 Fax 404-657-7835 California Hawaii Dr. Linda Forsyth Mr. Alvin M. Jitchaku Executive Director Executive Director Calif. Commission on Improving Life Through Service Hawaii State Commission on Nat'l & Community Service 1121 L St. Suite 600 335 Merchant St.,Rm. 101 Sacramento, CA 95814 Honolulu, HI 96813 Phone 916-323-7646 Fax 916-323-3227 Phone 808-586-8672 Fax 808-586-8685 Colorado Idaho Mr. Mike Ready Ms. Judy Ouderkirk Executive Director Executive Director 140 E. 19th Ave. Idaho Commission for Nat'l & Community Service Boulder, CO 80302 P.O. Box 83702 650 W. State St., Rm. 307 Phone 303-894-2750 Fax 303-894-2759 Boise, ID 83702 Connecticut Phone (208)334-3843 Fax (208)334-2632 Ms. Nancy Mandell Executive Director Conn. Commission on Nat'l & Community Service Dept. of Higher Educaction "1 Woodland St. Hartford, CT 06105 Phone 203-566-6154 Fax 203-566-7865 Appendix D STATE COMMISSION EXECUTIVE DIRECTORS Illinois Massachusetts Ms. Allyson Zedier Mr. Joseph Madison Executive Director Executive Director -1. Gov's Advisory Council on Volunatary Action Massachusetts Nat'l & Community Service Commission 100 West Randolf, #15-200 87 Summer St Chicago. IL 60601 Boston, MA 02110 Phone 312-814-5225 Fax 312-814-7236 Phone 617-542-2544 Fax 617-542-9715 Indiana Michigan Ms. Amy Conrad Warner Mr. Frank Dirks Executive Director Executive Director Indiana Commission on Community Service 111 South Capitol Ave. - Olds Plaza Building 302 West Washington St., Room E220 Lansing, MI 48909 Indianapolis, IN 46204 Phone 517-335-4295 Fax 517-373-4977 Phone 317-233-4273 Fax 317-232-1815 Minnesota lowa Ms. Mary Jo Richardson Ms. Susan Cory Executive Director Executive Director Minnesota Commission on Nat'l & Community Service Iowa Commission on Community Service 683 capitol Square Bldg., 550 Cedar St. 150 East Des Moines St. Saint Paul, MN 55101 Des Moines, IA 50319 Phone 616-296-1435 Fax 612-296-3348 Phone 515-281-9043 Fax 515-281-9033 Mississippi Kansas Ms. Marsha Meeks Kelly Ms. Patricia Kells Executive Director Executive Director Miss. Commission for Nat'l & Community Service Kansas Commission on National and Community Service 3825 Ridgewood Rd. P.O. Box 889 Jackson, MS 39205 Topeka. KS 66601 Phone 601-982-6738 Fax 601-982-6790 Phone 913-234-1423 Fax 913-234-1429 Missouri Kentucky Mr. Steve Schad Mr. David Crowley Executive Director Executive Director Missouri Commission on Community Service Kentucky Community Service Commission Room 121 1050 U.S. 127 South, Suite 101 State Capitol Frankfort, KY 40601 Jefferson City, MO 65101 Phone 502-564-3553 Fax 602-564-2063 Phone 314-751-4727 Fax 314-751-9422 Maine Montana Mr. Robert Blakesly Ms. Mary Blake Executive Director Executive Director Maine Commission on Nat'l & Community Service Montana Community Services Advisory Council State House -- Station 38 State Capitol, Room 219 Augusta, ME 04333 Helena, MT 59620-0801 Phone 207-624-6041 Fax 207-624-6023 Phone 406-444-5547 Fax 406-444-5529 Maryland Nebraska Dr. Marilyn W. Smith Ms. Fayette Carpenter Executive Director Executive Director Governor's Commission on Service State Capitol - 6th Floor 301 W. Preston St., 15th Floor Centennial Mall Baltimore, MD 21201 Lincoln, NE 68509 Phone 410-225-1216 Fax 410-333-7124 Phone 402-471-6225 Fax 402-471-6286 STATE COMMISSION EXECUTIVE DIRECTORS Nevada Oklahoma Ms. Christine Bundren Mr. Chris Delaporte Executive Director Executive Director Nevada Commission for Nat'l & Community Service Gov's Commission for Community Service 1830 E. Sahara Avenue 1515 N. Lincoln Las Vegas. NV 89104 Oklahoma City, OK 73104 Phone 702-486-7997 Fax 702-486-7924 Phone 405-235-7278 Fax 405-235-7290 New Hampshire Oregon Mr. Steve Bos Ms. Marlis Miller Executive Director Executive Director 64 Old Suncook Rd. Oregon Community Service Commission Concord, NH 03301 Office of Community College Services 255 Capitol St. NE Phone 603-228-9500 Fax 603-228-8557 Salem, OR 97310 New Jersey Phone 503-725-5903 Fax 503-725-3693 Ms. Ellen Schecter Executive Director Pennsylvania CN 500 Mr. John W. Cosgrove Trenton, NJ 08625 Executive Director Department of Labor and Industry Phone 609-292-1083 Fax 609-633-0658 1304 Labor and Industry Building, Seventh and Forster Streets New Mexico Harrisburg, PA 17120 Mr. Bob Biggers Phone 717-787-1971 Fax 717-787-9458 Executive Director Governor's Office - State Capitol, Suite 400 Puerto Rico Santa Fe, NM 87503 Dr. Jorge Luis Reyes Executive Director Phone 505-827-3042 Fax 505-827-3015 Puerto Rico State Commission of Community Service New York La Fortaleza Mr. Lou Trapani San Juan, PR 00901 Executive Director Phone 809-721-7877 Fax 809-722-3562 New York Commission on Nat'l & Community Service Executive Chamber - State Capitol Rhode Island Albany, NY 12224 Mr. David Karoff Executive Director Phone 518-473-8882 Fax 518-474-3767 903 Broad Street North Carolina Providence, RI 02907 Ms. Lynn Wareh Phone 401-461-6305 Fax 401-461-2210 Executive Director N.C. State Commission on Nat'l & Community Service South Carolina 116 W. Jones St. Ms. Diane Coleman Raleigh, NC 27603 Executive Director So. Carolina Commission on Nat'l & Community Service Phone 919-715-3470 Fax 919-733-2120 Office of the Governor Ohio 1205 Pendelton St. Columbia, SC 29201 Ms. Kitty Burcsu Executive Director Phone 803-734-0398 Fax 803-734-0385 Gov's Community Service Commission 51 North High St., Suite 481 Tennessee Columbus, OH 43215 Mr. Mike Herman Executive Director Phone 614-728-2916 Fax 614-728-2921 Tennessee Commission on Nat'l & Community Service Governor's Office, G-12 State Capitol Nashville, TN 37243 Phone 615-741-1676 Fax 615-532-7918 STATE COMMISSION EXECUTIVE DIRECTORS Texas Wyoming Ms. Randi Shade Ms. Beverly Morrow Executive Director Executive Director Texas Commission for Nat'l & Community Service Wyoming Commission for Nat'l & Community Service P.O. Box 12428 Herschler Building. 4th Floor - East Austin, TX 78711 Cheyenne, WY 82002 Phone 512-463-1814 Fax 512-463-1861 Phone 307-777-5396 Fax 307-638-8967 Utah Mr. Michael Call Executive Director Utah Commission on Nat'l & Community Service 324 S. State St., Ste. 240 Salt Lake City, UT 84114-7945 Phone 801-538-8611 Fax 801-538-8660 Vermont Ms. Kathleen R. Blair Executive Director Vermont Commission on Nat'l & Community Service Governor's Office 109 State St. Montpelier, VT 05609 Phone 802-828-3326 Fax 802-828-3339 Virginia Ms. Katie Noyes Campbell Executive Director Virginia Commission on Nat'l & Community Service :30 East Broad St., 9th Floor Richmond, VA 23219 Phone 804-692-1952 Fax 804-692-1949 Washington Mr. Bill Basi Executive Director Washington Commission on Nat'l & Community Service Insurance Bldg., Room 100 #43113 Olympia. WA 98504 Phone 804-692-1952 Fax 804-692-1949 West Virginia Dr. Belle Zars Executive Director West Virginia Commission for Nat'l & Community Service 421 Chestnut Street Logan, WV 25601 Phone 304-340-3290 Fax 304-340-3284 Wisconsin Mr. Lary Swoboda Executive Director Wisconsin Nat'l & Community Service Board P.O. Box 7868 Madison, WI 53707-7868 Phone 608-266-8234 Fax 608-267-6931 CORPORATION FOR NATIONAL AND COMMUNITY SERVICE Revised 7/26/94 State Program Directors Region I Region II Mr. Romero Cherry Mr. Stanley Gorland State Program Director State Program Director 1 Commercial Plaza 44 S. Clinton Ave. 21st Floor Suite 702 Hartford, CT 06103-3510 Trenton, NJ 08609-1507 (203) 240-3237 (609) 989-2243 Fax: (203) 240-3238 Fax: (609) 989-2304 Ms. Mary Pelkey Mr. Bernard A. Conte State Program Director State Program Director US Court House, Rm 305 6 World Trade Ctr, #758 76 Pearl Street New York, NY 10048-0206 Portland, ME 04101-4188 (212) 466-4471 (207) 780-3414 Fax: (212) 466-4195 Fax: (207) 780-3742 Gary O'Neal Mr. Malcolm Coles US Fed. Bldg., #G49 State Program Director 150 Carlos Chardon Ave. 10 Causeway St., Rm 473 Hato Rey, PR 00918-1737 Boston, MA 02222-1039 (809) 766-5134 (617) 565-7018 Fax: 809-766-5189 Fax: (617) 565-7011 Mr. Peter Bender State Program Director The Whitebridge 91-93 North State Street Concord, NH 03301-3939 (603) 225-1450 Fax: (603) 225-1459 Mr. Vincent Marzullo State Program Director 400 Westminster Street, Room 203 Providence, RI 02903 (401) 528-5424 Fax: 528-5220 Region III Region IV Ms. Betsy Wells Mr. John D. Timmons State Program Director State Program Director Fed. Bldg., Rm 372-D Room 770 600 M.L.King, Jr. Place Beacon Ridge Tower Louisville, KY 40202 600 Beacon Pkway West (502) 582-6384 Birmingham, AL 35209-3120 Fax: (502) 582-6386 (205) 290-7184 Fax: (205) 290-7186 Mr. Jerry Yates State Program Director Mr. Henry J. Jibaja Fed. Bldg., Rm 1125 State Program Director 31 Hopkins Plaza 3165 McCrory Street Baltimore, MD 21201-2814 Suite 115 (410) 962-4443 Orlando, FL 32803-3750 Fax: (410) 962-3201 (407) 648-6117 Fax: (407) 648-6116 Mr. Paul Schrader State Program Director Mr. David A. Dammann Leveque Tower, Rm 304A State Program Director 50 W. Broad Street 75 Piedmont Ave., N.E. Columbus, OH 43215 Suite 462 (614) 469-7441 Atlanta, GA 30303-2587 Fax: (614) 469-2125 Mr. Arthur Brown, III Ms. Jorina Ahmed State Program Director State Program Director Fed. Bldg., Rm 1005-A Gateway Bldg., Rm 2460 100 West Capitol Street 3535 Market Street Jackson, MS 39269-1092 Philadelphia, PA 19104 (601) 965-5664 (215) 596-4077 Fax: (601) 965-4617 Fax: (215) 596-4072 Mr. Robert L. Winston Mr. Lindsay Scott State Program Director State Program Director Room 131 400 N. 8th St., Rm 1119 Fed. Bldg, PO Century Sta. P.O. Box 10066 300 Fayetteville St Mall Richmond, VA 23240-1832 Raleigh, NC 27601-1739 (804) 771 2197 (919) 856-4731 Fax: (804) 771-2157 Fax: (919) 856-4738 Ms. Judith Russell Mr. Jerome J. Davis State Program Director State Program Director 603 Morris St., 2nd Floor Fed. Bldg, Rm 872 Charleston, WV 25301-1409 1835 Assembly Street (304) 347-5246 Columbia, SC 29201-2430 Fax: (304) 347-5464 (803) 765-5771 Fax: (803) 765-5777 Mr. Alfred E. Johnson State Program Director 265 Cumberland Bend Dr. Nashville, TN 37228 (615) 736-5561 Fax: (615) 736-7937 Region V Region VI Mr. Timothy Krieger Mr. Robert Torvestad State Program Director State Program Director 77 West Jackson Blvd., Fed. Bldg., Rm 2506 Suite 442 700 West Capitol St Chicago, IL 60604-3511 Little Rock, AR 72201 (312) 353-3622 (501) 324-5234 Fax: (312) 353-5343 Fax: (501) 324-6949 Mr. Thomas L. Haskett Mr. James M. Byrnes State Program Director State Program Director 46 East Ohio Street Fed. Bldg., Rm 248 Room 457 444 S. E. Quincy Indianapolis, IN 46204 Topeka, KS 66603-3501 (317) 225-6724 (913) 295-2540 Fax: (317) 226-5437 Fax: (913) 295-2596 Mr. Joel Weinstein Mr. Willard L. Labrie State Program Director State Program Director Fed. Bldg., Rm 722 640 Main Street 210 Walnut Suite 102 Des Moines, IA 50309 Baton Rouge, LA 70801 (515) 284-4816 (504) 389-0471 Fax (515) 284-6640 Fax: (504) 389-0510 Mr. Stanley Stewart Mr. John J. McDonald State Program Director State Program Director Fed. Bldg., Rm 658 Fed. Ofc. Bldg., Rm 1701 231 West Lafayette Blvd 911 Walnut Detroit, MI 48226-2799 Kansas City, MO 64106 (313) 226-7848 (816) 426-5256 Fax: 226-2557 Fax: (816) 426-5027 Mr. Robert Jackson Mr. Ernesto Ramos State Program Director State Program Director 431 South 7th Street First Interstate Plaza Room 2480 125 Lincoln Ave., #214-B Minneapolis, MN 55415 Sante Fe, NM 87501-2026 (612) 334-4083 (505) 988-6755 Fax: (612) 334-4084 Fax: (505) 988-6661 Mr. Michael P. Murphy Mr. H. Zeke Rodriguez State Program Director State Program Director 517 East Wisconsin Ave. 420 West Main Room 601 Suite 530 Milwaukee, WI 53202-4507 Oklahoma City, OK 73102 (414) 296-1118 (405) 231-5201 Fax: (414) 297-1863 Fax: (405) 231-4329 Mr. Jerry Thompson State Program Director 611 East Sixth Street Suite 404 Austin, TX 78701-3747 (512) 482-5671 Fax: (512) 482-5806 Region VIII Region IX Ms. Gayle Schladale (Acting) Mr. Richard Persely State Program Director State Program Director One Sherman Place 522 North Central 140 East 19th Ave. Suite 120 Room 205-A Denver, CO 80203-1167 Phoenix, AZ 85004-2190 (303) 866-1070 (602) 379-4825 Fax: (303) 866-1081 Fax: (602) 379-4030 Mr. Joe R. Lovelady Ms. Gayle Hawkins State Program Director State Program Director FOB Drawer 10051 Fed. Bldg., Room 11221 302 South Park, Rm 192 11000 Wilshire Blvd. Helena, MT 59626-0101 Los Angeles, CA 90024 (406) 449-5404 (310) 575-7421 Fax: (406) 449-5412 Fax: (310) 575-7422 Ms. Anne C. Johnson Ms. Lynn Dunn State Program Director State Program Director Fed.Bldg., Rm 156 Fed. Bldg., #6326 100 Centennial Mall N. 300 Ala Moana Blvd. Lincoln, NE 68508-3896 Honolulu, HI 96850-0001 (402) 437-5493 (808) 541-2832 Fax: (402) 437-5495 Fax: (808) 541-3603 Mr. John Pohlman Mr. Craig Warner State Program Director State Program Director Fed. Bldg., Rm 225 4600 Kietzke Lane 225 S. Pierre Street Suite E-141 Pierre, SD 57501-2452 Reno, NV 89502-5033 (605) 224-5996 (702) 784-5314 Fax: (6050 224-9201 Fax: (702) 784-5026 Mr. Richard Crawford State Program Director Frank E. Moss US Courthouse 350 So. Main St., Rm 504 Salt Lake City, UT 84101-2198 (801) 524-5411 Fax: (801) 524-3599 Region X Mr. Billie Joe Caldwell State Program Director - AK Jackson Fed. Ofc. Bldg. 915 Second Ave., #3190 Seattle, WA 98174-1103 (206) 553-1558 Fax: (206) 553-4415 Mr. Kent Griffitts State Program Director 304 N. 8th St., Room 344 Boise, ID 83702-5835 (208) 334-1707 Fax: (208) 334-1421 Ms. Robin Sutherland State Program Director Fed. Bldg., Room 647 511 N. W. Broadway Portland, OR 97209-3416 (503) 326-2261 Fax: (503) 326-6572 Mr. John Miller State Program Director - WA Jackson Fed. Ofc. Bldg. 915 Second Ave., #3190 Seattle, WA 98174-1103 (206) 553-4975 Fax: (206) 553-4415 Sample press release should be sent out by all pilot locations by Friday, July 15. SAMPLE RECRUITMENT PRESS RELEASE (UNDERLINED SECTIONS SHOULD BE INDIVIDUALIZED AND PLACED ON USDA STATIONARY -- YOU SHOULD APPROVE YOUR VERSION WITH THE NATIONAL OFFICE BEFORE DISTRIBUTION) Contact: Joel Berg, (202) 720-6350 USDA Director of National Service Jane Doesmith, (313) 555-1212 Illinois Public Affairs Officer EAST ST. LOUIS AMERICORPS NATIONAL SERVICE PROGRAM BEGINS RECRUITMENT EAST ST. LOUIS, ILLINOIS -- The United States Department of Agriculture (USDA) announced today that it has begun recruitment for the AmeriCorps national service project that the Department will run in East St. Louis starting this September. AmeriCorps is President Clinton's national service initiative that allows diverse groups of young people to earn college or vocational school scholarships while performing critical service to meet human, environmental, public safety, and educational needs. Participants in the program will work for a year earning a stipend of at least $7,500, and then receive an educational award worth $4,725. The 20 participants in the East St. Louis program will restore neglected and abandoned lots in residential neighborhoods, clean up and beautify State Community College, renovate the greenhouse at East St. Louis Service High School, and renovate local parks. Any citizens age 17 or older from the St. Louis Metropolitan Area are eligible to apply for the program. There is no maximum or minimum family income required to apply. Applications will be accepted until August 5th. To apply for the program or obtain more information, call Jon Jones at (333) 777-2222 or the toll-free national USDA AmeriCorps hot line at 1-800-880-4183. Secretary of Agriculture Mike Espy urged all interested Americans to apply. Said Espy, "AmeriCorps is grounded in the mainstream values of community, responsibility, and opportunity. It is good for the participants, who benefit from their increased ability to attend college or vocational school --- good for communities, which benefit from their service --- and good for the country, which benefits from a renewed civic spirit." ### Appendix E SAMPLE LOCAL RECRUITMENT PLAN OUTLINE Tuesday, July 5: Send press release to all area media outlets, including minority newspapers and radio stations; follow-up with phone calls to each outlet (see attached sample) -- Releases must be approved by USDA national office By Friday, July 8: Have met with all financial aids counselors, community service coordinators, student deans, job placement coordinators, student activities coordinators at all universities, colleges, and vocational schools in the area -- including historically African-American, Hispanic, and American Indian institutions By Friday, July 15: Have met with all Principals, Vice-Principals, guidance counselors, coaches, and student activities coordinators from all local public and private high schools By Wednesday, July 13: Receive package of 500 recruitment brochures and 15 recruitment posters from national office; immediately place labels listing local contact number on all brochures and posters Tuesday, July 19: Hold meeting with key community leaders, FFA coordinators, clergymen, business leaders, and 4-H coordinators By Wednesday, July 20: Have hand-delivered or mail brochures to all recruitment contacts previously located Thursday, July 21: Speak at Chamber of Commerce lunch By Friday, July 22: Have personally placed all fifteen posters at key sites in the area where young people congregate; hold brochure distributing blitz to distribute brochures at local swimming, pools, parks, Summer feeding sites, public assistance offices, college campuses, and recreation centers Monday, July 25: Speak at monthly meeting of local urban league chapter Tuesday, July 26: Meet with local leaders from organization representing the disabled Wednesday, July 27: Spanish-speaking member of staff appears on call-in show on local Hispanic radio station Thursday, July 28: Make presentation at local FFA chapter meeting Friday, July 29: Speak at local rotary club By Monday August 1: Obtain lists of local residents interested in program who have called into the USDA and the Corporation for National and Community Service 800 lines Appendix F Friday, August 5th: Last day to receive applications; select finalists for interviews; will interview twice as many applicants as there are slots in the program Monday, August 8: Bring xerox copies of all finalists' applications to USDA AmeriCorps staff training in Washington, D.C. By Friday, August 12: Obtain approval of finalist list from national office Monday, August 15: Begin interviewing finalists By Thursday, August 18: Send list of final selections to national office for approval Monday, August 22: Selections are finalized; local office calls all of those selected and as many of those not selected as possible; national office sends letters from Secretary Espy to all those who were and were not selected A SMITED LIMITED SERVICE & states num MOMORTH USDA-AMERICORPS CHECKLIST FOR PROJECT DIRECTORS AND MANAGERS Upon notification of grant approval, the following items should be accomplished: RECRUITMENT PHASE Develop a recruitment plan and submit a copy to agency National level. Press releases developed and disseminated to local media. Brochures and posters disseminated. Send out applications to local sources. Get list of potential applicants from 800 numbers. Consult with State Commission. SELECTION PHASE Review applications. Adhere to qualification criteria. Interview all finalists. Discuss Benefits. Determine educational background. Check at least one reference. Make Selection. Send letters of acceptance or rejection to all applicants. Site assignments (if needed) Appendix G ENROLLMENT PHASE Corporation Enrollment Form National Service Trust Enrollment Form Member Agreement Form I-9, Employment Eligibility Health Benefit Enrollment Form State & Federal tax forms. Direct Deposit Forms AD-349 - Employee Address SF 52, Request for Personnel Action Supplemental SF 52 SF 1152, Designation of Benefit for Unpaid Compensation Safety Release Form (provided in Chapter on Safety in Manual) AD 332, Position Description Cover Sheet Child Care Packet (if needed and eligibility determined) ID Card ORIENTATION PHASE Welcome - AmeriCorps - National Service Overview Work Schedules Duties/Responsibilities Swearing in Ceremony Clothing issue Provide Members with Orientation Handbook Training Conflict Resolution Communications CPR, 1st Aid Accident/safety/health Ethics Other training as needed or desired EVALUATION/OPERATIONS PHASE Complete Operating Site Forms Discuss and review objective Finalize Cooperative Agreements with Partners Development Project Work Plans Develop Training Plan Tools and equipment Transportation Support Logistics (Lunch, Beverage, First Aid) Recording work accomplishments and Member data Quarterly reports Tailgate safety sessions Plan for improvement Cooperate with the National Evaluation CLOSE-OUT PHASE Member Exit Form National Service Trust End of Term of Service Form RICOR STATE TM AmeriCorps/USDA Application A Program of the AmeriCorps @ National Service Network OMB # 0506-0004 EXP. 4-30-98 FORM AD 1099 (USDA) (4/95) APPENDIXH Application acons. AmeriCorps is the national service initiative signed into law by President Clinton. During 1994-95, AmeriCorps' first year of existence, about 20,000 individuals of all ages and backgrounds performed critical service nationwide to meet human, environmental, public safety, and educational needs. Through the U.S. Department of Agriculture's AmeriCorps program in 1994-95, approximately 1,200 diverse individuals served in urban and rural communities to rebuild rural America, fighting hunger, and protecting the environment. In return, Members received a $4,725 voucher for education, vocational training, or loan repayments. While there is no typical AmeriCorps Member, all people selected for AmeriCorps will demonstrate a commitment to service, a willingness to use their time and abilities to improve the lives of others, and an interest in learning new skills. Through their service, they will bring to life the AmeriCorps ethic of community and responsibility. This application asks you to describe the skills and experience you offer to AmeriCorps, as well as the reasons why you hope to be selected. Consider each section carefully and respond to the best of your ability. Think about your role in service activities, membership in community organizations, academic experiences, and personal talents. Take into account everything from your past and present. Your application and personal references help create a full picture of you and what you bring to national service. Make sure that the application accurately reflects all the qualities that make you a good candidate for AmeriCorps. I. Member Profile 1. Name: 2. Social Security Number: 3. Date of Birth (Month/Day/Year): 4. Current Address: 5. Permanent Address: Street: Apt.#: Street: Apt.#: City: State: Zip Code: City: State: Zip Code: 6. Telephone Number: Daytime: ( ) Evening: ( ) 7. Are you a U.S. Citizen, a National or a lawful Permanent Resident Alien? Yes No 8. Date of Availability: / month/year 9. Have you been an AmeriCorps Member? Fulltime Parttime Summer Did you complete your service? Where? When? Describe your service work, on a separate sheet if necessary. Privacy Act Notice The Department of Agriculture is asking for your Social Security Number because nearty all AmeriCorps members receive living allowances. Your Social Security Number will be used by the IRS for tax purposes and by the Corporation for National and Community Service for internal tracking purposes. it will also be used by the National Service Trust to track educational awards. Your Social Security Number will not be released outside the Federal Government without your specific atitien consent II. Personal Statement ease answer the following questions on an attached sheet. 1. Why do you want to join AmeriCorps? 2. What are your most important skills or experiences that will help you contribute to AmeriCorps? III. Community Activities List and describe your organizational memberships and community-based service experience. Include social. school. professional. and neighborhood projects and programs. Attach additional sheets if necessary. DATES OF NAME OF GROUP DESCRIPTION OF ACTIVITIES/POSITION PARTICIPATION IV. Skills Indicate those areas in which you have had significant training or experience, including volunteer or community service experience. Leadership Business/Managing/Accounting Child Care/Development Communication/Journalism Community Outreach IV. Skills (Continued) Construction Nutrition Survey/Questionnaire Interviewing Nutrition Education (for all ages) Recreation/Tourism Planning and Design Meeting Facilitation Supervisor General Forestry Solid Waste Specialist Marketing Specialist Public Speaking Research Writing Natural Resource Sociology Economics International Business Volunteer Organizing Law Geography Wood Utilization Specialist Social Services Teaching/Tutoring Victim Assistance Youth Work/Coaching Foreign Language (Specify): Other Skills not listed above (describe): V. Educational Background Check only highest level Graduate/Professional degree 4. O Some college 7. 0 High school graduate Graduate/Professional study 5. 0 Technical school/Apprenticeship 8. O GED 3. O College graduate 6. 0 Associate degree 9. 0 Less than high school completed Other (specify) Beginning with the most recent. list all schools attended, including high school, any trade or technical schools. Job Corps, etc. Attach additional sheets if necessary. Dates Attended Type of Degree/ Location of School Area of Study Certificate and Name of School From To (City/State) Major/Minor Date Received Mo./Yr. Mo./Yr. (expected) VI. References Please list two individuals whom we may contact as references. We encourage you to list people who know you well such as teachers, employers, guidance counselors, or community members. 1. Name: 2. Name: Address: Apt. #: Address: Apt. #: City: State: City: State: Tode: Zip Code: Telephone Number: Telephone Number: Relation to you: Relation to you: VII. Employment Record Please include any self-employment. home management. military service active duty/ Reserve / National Guard. salaried employment. Start with your current or most recent experience. Photocopy this page if additional sheets are necessar A. Employer: C. Employer: Your Title: Your Title: Name of Supervisor: Name of Supervisor: City/State: City/State: Your Duties & responsibilities: Your Duties & responsibilities: From: (mo/yr) From: (mo/yr) To: (mo/yr) To: (mo/yr) Hours per week: Hours per week: Phone Number: Phone Number: Reason for Leaving: Reason for Leaving: B. Employer: D. Employer: Your Title: Your Title: Name of Supervisor: Name of Supervisor: City/State: City/State: Your Duties & responsibilities: Your Duties & responsibilities: From: (mo/yr) From: (mo/yr) To: (mo/yr) To: (mo/yr) Hours per week: Hours per week: Phone Number: Phone Number: Reason for Leaving: Reason for Leaving: VIII. Preferences A. Geographic - only in or around my hometown B. Program Areas - in my home state or region of the country -Anti-Hunger, Nutrition, and Empowerment - Public Lands & Environment - anywhere in the country (* No reimbursement for relocation expenses) - Rural Development IX. Additional Information Please attach additional information that you think will help us evaluate your application. including a description of any particular hardship or special circumstances you have faced. X. Certification All applications must be signed by the applicant. By signing this application, you are stating that all of the infor provided is true to the best of your knowledge. Signature Date NOTE: The collection of this information is authorizal by the provider of the National and Community Service Aa as ameaded by the National and Communy Service True An of 19. Information ml be used in determine qualificasner for selection of persons 9 the AmenCorp program The information will BOX be disclosed the government without when permiss The information in the section below is optional. will in no way affect your selection into the program. and will be rocessed separately. You have three options: (1) You may return the Optional Information with the application; (2) You may detach the Optional Information form and return it separately and anonymously: or (3) You may choose not to return the Optional Information form. Optional Information I. Describe your ethnic background: Black (African American) Hispanic (Latino) American Indian/Alaskan Native White/non-Hispanic Asian or Pacific Islander Other П. Do you have any special needs that require accommodation? Yes No (specify) III. Does your family receive public assistance (e.g., AFDC, Food Stamps): Yes No If yes, please specify Total annual household income from all sources $ How many people (parents\siblings. children) live with you? ERICORPE A SEPTEM BITD STATES you ТЕМИЙ" a TUBI LIVING ALLOWANCE WAIVER FORM I understand that, under the National and Community Service Act, as amended (42 U.S.C. I 12501, et seg.), I am entitled to a living allowance of $ during the period that I am serving as an AmeriCorps Member. I understand that this living allowance may be taken into account in determining eligibility for Social Security Act programs, including AFDC and Medicaid. I also understand that I may waive my right to receive a living allowance and that I may revoke this waiver at any time during the course of the AmeriCorps Program. I hereby waive my right to receive a living allowance. (Name of AmeriCorps Member-please print) (Signature) (Date) Appendix I AmeriCorps Care How Participants Access Child Care Benefits Once grantees determine that a full-time AmeriCorps participant is eligible for child care benefits and give participants their child care packet, participants simply contact AmeriCorps Care at (202) 393-1135 from 8:30 am to 5:00 pm ET, Monday through Friday. AmeriCorps Care staff will walk the participant through the contents of the packet, the search process, and the payment process. Those participants who have already identified a child care option will have the payment process explained. Participants who require assistance in searching for child care will then receive local information regarding child care options. Included will be a select list of three to five child care providers developed to respond to the participant's unique needs. The child care providers will have confirmed vacancies so that participants simply visit and interview the caregivers in order to make a final selection. Materials for Grantees AmeriCorps Care has developed and will supply each grantee with the following materials. Eligibility Determination Manual containing detailed instructions on determining eligibility, documentation on state median income, review of the referral and payment benefits administered by AmeriCorps Care, and information on how participants access services at each step of the process. Child Care Benefits Eligibility & Redetermination Application Child Care Packet for each participant containing information on child care needs assessment form, how to choose child care, how to assess quality in child care, parent/provider relationships, setting up backup child care, three-party child care agreements, child care coupons, parent handbook on payment process, and provider handbook on payment process. Grantees may also directly access AmeriCorps Care staff throughout the project year to receive supportive assistance as participants complete their year of service. AmeriCorps Care staff will assist grantees with questions regarding eligibility determination, child care benefits, unique participant needs, and other issues relating to AmeriCorps child care benefits. Because grantees must keep AmeriCorps Care informed of the ongoing child care needs and changes during the course of the project year, an 800 telephone number is available to grantees for this type of follow-up assistance. AmeriCorps Care staff are available from 9:30 am to 5:30 pm ET Monday through Friday at (800) 570-4543. Appendix J AmeriCorps Care Overview of Child Care Benefits for AmeriCorps Participants AmeriCorps child care benefits include assistance in: 1) identifying child care and 2) payment of child care costs based on a regional allowance. Benefits are designed to support both the participant and the child(ren) so that the participant can successfully complete her/his term of service and the child(ren) receive developmentally appropriate care. Grantees are responsible for determining a participant's eligibility for child care benefits. AmeriCorps Care will administer payments and provide assistance in searching for child care to those participants who require such support. The process consists of the following steps which are essential to the successful placement of the child in a quality child care program Orientation to provide the participant with the information needed to successfully choose a child care provider (grantee) to gather essential information to determine the participant's eligibility for child care benefits Verification/Certification to review all eligibility information for completeness and accuracy (grantee) to review documentation and certify participant's eligibility based on current CCDBG requirements Obligation/Authorization to provide each eligible participant with an AmeriCorps Care parent packet and authorize (grantee) payment to selected, qualified child care providers Compensation AmeriCorps Care will administer a payment system, forwarding child care payments directly to (AmeriCorps child care providers on a monthy basis. AmeriCorps Care will provide grantees with an operations manual which details the steps involved in each of these five procedures, and an 800 technical assistance telephone number (1-800-570-4543 9:00 am to 5:30pm, EST, Monday through Friday 1 to answer any questions or to provide instructional guidance regarding the AmeriCorps Care program. AmeriCorps Care will make available all such materials to grantees. Health Insurance Plan for AmeriCorps Participants PLAN BENEFITS ELIGIBILITY... All AmeriCorps participants are eligible unless they already have health care coverage through an alternate source. COVERAGE BEGINS Immediately, provided that the participant is active in the AmeriCorps program. POLICY YEAR Each agency has a 12 month Policy Year that begins on that agency's date of implementation of the plan. DEDUCTIBLE... The plan has a deductible of $100 per Policy Year. BENEFITS Level / Level II Each Policy Year, the plan pays 80% After $1,000 in out-of-pocket expenses until the participant has paid $1,000 in has been paid, the plan pays 100% for the out-of-pocket expenses (including the rest of the Policy Year up to a lifetime deductible). maximum of $50,000 for each cause. PRE-EXISTING CONDITIONS Benefits are limited for eligible expenses incurred during the first 12 months of coverage if they are due to pre-existing conditions; the plan will pay only up to $5,000. Full coverage is provided once the participant has been covered for 12 consecutive months. OTHER LIMITATIONS. In addition to excluded expenses, there are several categories of expenses for which benefits are limited. A few examples follow: Expense Benefit Limitation Hospital Room & Board $600 per day Intensive Care $1,200 per day Motor Vehicle Accident Injuries $10,000 per cause Sports-Related Injuries $5,000 per cause CONTINUATION AFTER PARTICIPATION. When participation in the AmeriCorps program ends, a participant may elect to continue coverage. The premium rate for continuation is higher than the agency-paid rate per participant. Appendix K Health Insurance Plan for AmeriCorps Participants IMPORTANT FACTS Immediate Coverage for Participants (September 1 first possible effective date) Monthly Premium is $101.00 per Participant Administrative Kits will be Mailed in approximately Two Weeks Administrative Kit Contains: Participant Brochures Plan Information Summary Administrative Manual Form Types Spanish Materials Available Customer Service Staff 8 am to 8 pm Eastern Time (M-F) 1-800-788-6557 Plan Underwritten by Allianz Life Insurance Company of North America Administered by Strategic Resource Company (SRC) If you have questions on the administration of the program, please call Allianz Life at 1-800-788-6557. July 21, 1994 Dear Lender, This is to inform you that individuals serving in an approved position in AmeriCorps, the national service program, are entitled to forbearance on qualified student loans during their terms of service. This benefit is intended to enable individuals with outstanding debt to participate in AmeriCorps, the national service program established by the National and Community Service Trust t of 1993 (P.L. 103-82). This law amended the Higher Education Act to provide that: "upon written request, a lender shall grant a borrower forbearance on such terms as are otherwise consistent with the regulations of the Secretary [of Education], during periods in which the borrower is serving in a national service position, for which the borrower receives a national service educational award under the national and Community Service Trust Act of 1993." The Department of Education has further incorporated this statutory mandate into its implementing regulations. The final regulation governing the Federal Family Education Loan Program (34 CFR Part 682) provides for mandatory forbearance for such a borrower "in yearly increments (or a lesser period equal to the actual period during which the borrower is eligible). In the future, the Department will incorporate further regulatory references to this mandatory forbearance requirement for Perkins' loans. The Department of Health and Human Services is developing policy guidance to notify schools, lenders, and holders that loans made pursuant to Title VII and VIII of the Public Health Service Act are similarly eligible for forbearance during any periods of service with the national service program. The Corporation for National Service shall pay the interest that has accrued on the qualified student loans of any person in an approved national service position during their term of service, pursuant to Section 148 (e) of the National and Community Service Trust Act. Interest will be paid to the lender at the end of the term upon the successful completion of service by the borrower in a national service program. Participants who fail to complete the full term will generally be liable for the accrued interest. In some instances, individuals may leave service early for compelling personal circumstances and the Corporation will also pay accrued interest during the term of service. Otherwise, individuals who leave the program early are responsible for paying the accrued interest. Appendix L Qualified student loans for which the Corporation will pay accrued interest costs are: "any loan made, insured, or guaranteed pursuant to title IV of the Higher Education Act of 1965 (20 U.S.C. 1070 et.seq.), other than a loan to a parent of a student pursuant to section 428B of such Act (20 U.S.C. 1078-2) i" and "any loan made pursuant to title VII or VIII of the Public Health Service Act (42 U.S.C. 292a et seq.) In general, the Department of Education loans that are covered include: (a) Federal Family Education Loan Program, including: Federal Consolidation Loans, Federal PLUS Loans (excluding those made to parents), Federal Stafford Loans, Federally Insured Student Loans (1984 and prior), Guaranteed Student Loans (former name for Stafford Loans), and Supplemental Loans for Students; (b) Federal Direct Student Loan Program (FDSLP) i and (c) Federal Perkins Loans, including: National Defense Student Loan Program (NDSL) ; National Direct Student Loan Program (NDSL) ; and Income Contingent Loan Program. For purposes of the Public Health Service Act, this includes Health Education Assistance Loans (HEAL), Health Professions Student Loans (HPSL), Loans for Disadvantaged Students (LDS), Primary Care Loans (PCL), and Nursing Student Loans. When participants in national service wish to defer repayment of their loans, they should follow the procedures you have established for forbearance. We will work with the participant to provide any required certification either to you or to the participant, in accordance with your procedures. We will also work with lending institutions to determine the most effective procedures for payment of these accrued interest costs at the end of a participant's term of service. If you have any further questions, you may call us at (202) 606-5000x347, or write to: National Service Trust Corporation for National Service 1201 New York Ave, NW Washington, D.C. 20525 Thank you for assistance in the implementation of this requirement. Sincerely, \s\ Gary Kowalczyk Acting Chief Financial Officer IMPORTANT CORPORATION FORMS The USDA Director of National Service will assign specific Program/Project I.D. to your project once it is approved. It is essential that you use this number in all correspondence referring to your project and in completing the required Corporation for National and Community Service Forms. We must all remember that an AmeriCorps Member's ability to use their post service education award is directly related to the accuracy of the information we place on the forms submitted to the Corporation. To ensure the accuracy of this information we must follow the following rules when completing forms for the Corporation: 1. Always use the USDA Program/Project I.D. number assigned to you; 2. For every form completed send the original to your agency national headquarters in Washington, D.C. 3. Retain a copy for your records. 4. For any form that the member is required to sign, make a copy for the member to retain for his/her records. The consistent use of the USDA Program I.D. number is critical when you realize that at least seven different forms from the CNCS require a program I.D. number but the same number is called different things on different forms. For example, the participant Enrollment Form (PEF) asks for the "Sub-grantee I.D. Number". The National Service Trust Form asks for the "Program I.D. Number". Both forms are asking for the same number even though different names are used for the number on each form. The reason for this is probably that in the rush to get the Corporation up and running, different people developed different forms and that caused different names to be used. Rather than change all the forms, it is easier if we just recognize where the appropriate Program I.D. Number should go on each form regardless of what it is called. The table below contains a list of forms and the place where you put the USDA/AmeriCorps Program I.D. Number. IMPORTANT NOTE: It is NOT acceptable to submit xerox copies of Corporation forms to the Corporation. Only original forms should be completed and forwarded. Contact your agency program manager if you need more forms. Appendix M LOCATIONS ON CNCS FORMS WHERE THE USDA/AMERICORPS PROGRAM I.D. NUMBER IS PLACED USDA Official CNCS Form Name Name of Element on National the form that should Service be completed by Form filling in the 14 Filing digit USDA/AmeriCorps Number Program I.D. Number 2 Transmittal Sheet Program I.D. Number 5 Training and Technical Operating Site I.D. Assistance Form Number 6 SF 269a Financial Status Recipient Account Report Number or identifying number (block #5) 8 AmeriCorps*USA Operating Site Operating Site I.D. # Quarterly Report 11 Participant Enrollment Form Sub-grantee I.D. (PEF) Number 12 National Service Trust Program I.D. Number Enrollment Form (NSTEF) 13 National Service Trust End of Program/Project I.D. Term of Service Form Number Corporation for National Operating Site I.D. Service AmeriCorps*USA - Operating Site Information Form Send comments on this form to OMB Paperwork Reduction Project (3045-0006) Washington, D.C. 20503 OMB# 3045-0006 AMERICORPS CORPORATION A NATIONAL SERVICE TRUST FOR NATIONAL STATE ENROLLMENT FORM SERVICE Please CAREFULLY read instructions BEFORE filling out BOTH sides of this form. USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circles. 1. Print clearly your full name, including middle initial. 2. Provide your date of birth (in six digits, e.g. 11-03-74) 3. Provide your Social Security number. (If you do not have a Social Security card, you must obtain one.) 4. Indicate whether you plan to use the education award to pay for a student loan you owe and/or for future education expenses. If you are not sure, mark "Not sure". 5. Print clearly your current address and phone number. 6. Print clearly your permanent address (if it is the same as your current address, write "SAME"). 7. Sign your name. 1. Participant's Name: First Middle Initial Last What is your birthdate? 3. What is your SSN? 4. How do you plan to use this award? DATE (Mark all that apply.) SOCIAL SECURITY MO. DAY YR. NUMBER Repay an outstanding student loan Pay for future education Not sure 0 0 0 0 0 0 0 0 o 0 0 0 0 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 51 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 7 8 a 8 8 00 B 8 D.C 8 8 8 9 9 9 9 9 9 9 9 9 9 9 5. Current Address 6. Permanent Address (All information will be sent to you at this address until you notify (Name and address of a person through whom you can always the Corporation of a change of address.) be reached.) Number and Street Name City and State Zip Code Number and Street Home Phone City and State Zip Code Business or School Phone Home Phone Business or School Phone 7. Participant's Signature: Date: Appendix N Design Expert™ by NCS Printed in U.S.A. Mark Refiex EM-156496:321 AHR02 To be filled out by Approving Official USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circle Sections 8-13 must be completed by one of the following: (a) the State Director of the Corporation for National Service if participant is a VISTA participant. (b) the Camp Commander or his/her designee if participant is a National Civilian Community Corps participant. (c) the Program Director if participant is an AmeriCorps USA program participant. 8. Indicate whether the participant is enrolled in a full-time or part-time program. If a VISTA or a National Civilian Community Corps participant, mark "Full-time" program unless enrolled in the summer program. If an AmeriCorps USA participant, indicate whether the individual is a full-time participant (minimum of 1700 hours) or a part-time participant (900 hours). If reduced part-time, indicate the number of hours. 9. Indicate whether the participant receives an education award or Stafford Loan Forgiveness. (Unless informed otherwise, mark "Education Award".) 10. Indicate the type of program in which participant is enrolled. If "Other", be specific. 11. Provide the date of the participant's enrollment in the program (in six digits). 12. Provide the date of the participant's expected completion of the program (in six digits). 13. The Approving Official must provide the name of the program, program director, phone number (including area code), program address, and sign the form. The program I.D. number should reflect either the assigned grant number or other approved identification number. 8. Type of Participant Enrollment: 11. Date of (Mark only one.) 12. Expected Date of Enrollment Completion 00000 Full-time Part-time DATE DATE Summer Reduced part-time (How many hours ) MO. DAY YR. MO. DAY YR. Other (Specify: ) 0 0 0 0 0 1 1 9. Participant receives: 2 2 2 2 2 2 2 2 (Mark only one.) (3) (c) 3 Education Award 4 4 4 4 4 4 Stafford Loan Forgiveness (-) 5 5 5 5 6 6 6 6 6 6 7 7 7 7 10. Type of program: 8 8 8 8 8 8 (Mark only one.) 9 9 S 9 AmeriCorps USA National Civilian Community Corps VISTA Other(Specify: ) 13. Program Information: Name of Program: Program Director: Phone Number: / / Area Code Address of Program: Street City State Zip Code Program I.D. Number: Signature of Approving Official: Date: PRIVACY ACT NOTICE The collection of this information is authorized by the provisions of the National and Community Service Act, as amended by the National and Community Service Trust Act of 1993. Information will be used to enroll persons in the National Service Trust. The information will not be disclosed outside the government without written permission. Send comments on this form to OMB Paperwork Reduction Project (3200-0018) Washington, D.C. 20503 OMB# 3200-0018 CORPORATION FOR NATIONAL PERVICE PARTICIPANT ENROLLMENT FORM DEPARTMENT * SERVICE USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circles. For Local Program Staff Use Date of Participant's Enrollment DATE Grantee: MO. DAY YR. Subgrantee/Program: 0 0 0 0 0 1 1 1 1 1 2 2 2 2 Subgrantee ID Number: 3 3 3 3 4 4 4 4 5 5 5 5 The participant was recruited: Nationally (referred to you from the national 6 6 f referral database) 7 7 7 7 Locally (recruited through your own local efforts. 8 8 E 8 No involvement with the national referral system.) 9 9 c C and complete remainder Participant's Name: (Print clearly.) First Middle Initial Last cipant's Signature: Date: Parent's Signature: Date: (If required) Current Address (Print clearly.) Permanent Address (Print clearly.) (All information will be sent to you at this address until you notify (Name and address of a person through whom you can always the Corporation of a change of address. be reached.) Number and Street Name City and State Zip Code Number and Street Home Phone City and State Zip Code Business or School Phone Home Phone 1. What is your SSN? 2. What is your birthdate? Business or School Phone SOCIAL SECURITY DATE NUMBER MO. DAY YR. 3. Are you? Female Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 4. Are you a(n) 2 2 2 2 2 2 2 2 2 2 2 2 2 2 U.S. Citizen 3 3 3 3 3 3 3 3 3 3 3 3 Permanent Resident (not a U.S. Citizen) 4 4 4 4 4 4 4 4 4 4 4 Alien with a work permit/authorization to work 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 5. Are you registered to vote? (optional) 7 7 7 7 7 7 7 7 7 7 7 7 7 Yes 8 8 8 8 8 8 8 8 - 8 8 8 8 No 9 9 9 9 9 9 9 9 9 9 9 9 9 Not sure DesignExpert™ by NCS Printed in U.S.A. Mark Reflex EN Appendix 0 6. Which one of the following categories best 13. How did you hear about this program? describes your racial or ethnic origin? (Mark all that apply.) 0000000% White (non-Hispanic) Read about it in a newspaper/magazine African American (non-Hispanic) Saw a public service announcement Hispanic/Latino Heard one of the President's speeches on a Asian/Pacific Islander Call to Service American Indian/Alaskan Native Recruited by an organization/school Other (Specify: ) Guidance Counselor/Teacher/Parent/Relat. Prefer not to respond Friend told me/Friend applied Heard about it on the TV/radio Other (Specify: ) 7. Which of the following best describes your current marital status? 14. When you joined the program, who among the 000000 (Mark only one.) Single, never married following were part of your household? Married, living with husband/wife (Mark all that apply.) Married, not living with spouse/legally separated Mother Widowed Father Divorced Foster parent(s) Spouse Boyfriend/girlfriend 8. What is the highest level of education you have Sisters or brothers (How many? ) completed? Your own children (How many? Graduate degree Other adults (Not including roommates) 000000000: Graduate study (How many? ) College graduate Other children (How many? ) Associate degree No one, live alone Some college Technical school/Apprenticeship GED 15. Last year, about how much money did you High school graduate earn? (If possible, base your answer on the Less than high school completed "adjusted gross income' figure from last year's federal income tax return.) $0 $1,000 9. Do you have a disability? 1,001 5,000 5,001 10,000 Yes (Specify: ) 10,001 20,000 No 20,001 - 30,000 30,001 40,000 Over 40,000 10. Were you previously enrolled in any other service program sponsored by the Corporation for National Service (or by any one of its 16. Last year, what was the TOTAL income of all predecessors. ACTION or the Commission for other members of your household? (If National and Community Service)? possible, base your answer on the "adjusted gross income" figure from last year's federal Yes income tax return.) If yes. when? / / to / / $0 $1,000 Month Day Year Month Day Year 1,001 5,000 No 5,001 10,000 10,001 20,000 20,001 - 30,000 11. What will your participation in the program be? 30,001 40,000 Full-time 40,001 - 50,000 Part-time 50,001 60,000 60.001 70,000 70,001 - 80,000 12. What are the two major reasons you decided to 80,001 - 90,000 join this program? 90,001 - 100,000 To get an education scholarship Over 100,000 To be a part of the national movement Have no idea To get a job/earn money Friends have joined To make friends 17. Which of the following do you or your To learn about or work with different parents/guardians receive? ethnic/cultural groups (Mark all that apply.) Parents/teachers wanted me to join Aid to Families with Dependent Children (AFDC) 0000000 To explore future job/education interests General Assistance/General Relief Interested in health issues Foodstamps Interested in education issues WIC Interested in environment issues Worker's Compensation Interested in public safety issues Social Security Benefits To help other people/perform a community Other welfare or public assistance service None Other (Specify: ) PRIVACY ACT NOTICE The collection of this information is authorized by the provisions of the National and Community Service Act, as amended by the National and Community Service Trust Act of 1993. Information will be used to enroll persons in the AmeriCorps program. The information will not be disclosed outside the government without written permission. SEAL A SERRICE SMITLE STATES 7480 . MATGA - No: Position Description AmeriCorps USDA Complete Name: Title: USDA AmeriCorps Member Location: 1. As a Member of the USDA AmeriCorps the incumbent must have the following abilities: Ability to work as a team member. Ability to follow instructions. Ability to communicate. Ability to work outdoors. Ability to work with citizens of the community. Ability to perform a wide range of functions. 2. Major Duties: (To be completed by Supervisor) 3. Member must support and participate in Equal Opportunity and Civil Rights Program activities. 4. Member must practice appropriate safety procedures in all tasks. 5. Member must keep the workplace free of drugs and alcohol. Supervisor's Name: Supervisor's Title: Date: Appendix P PUBLIC LANDS AND ENVIRONMENT CORPS AGREEMENT OF PARTICIPATION IN THE USDA AMERICORPS PROGRAM Whereas, the Corporation for National and Community Service (CNCS) and the United States Department of Agriculture (USDA) have jointly entered into this agreement to promote national and community services among the citizens of the United States to help meet human, educational, environmental and public safety needs, particularly those related to proverty. Whereas, the mission of the USDA AmeriCorps program is to engage a diverse group of Americans in working partnerships with communities to provide real and measurable service to meet environmental and human needs, while earning education benefits and building an ethic of service, responsibility, and citizenship. Whereas, USDA actively supports the development of the nation's youth through programs such as AmeriCorps. Therefore, the usda will operate it's AmeriCorps Program to further objectives of mutual civic obligation. AUTHORITY: This agreement is entered into pursuant to the authority of the National and Community Service Act of 1990 as amended (42 U.S.C. 12501 et. Seq.), Public Law 103-82. I. Purpose It is the purpose of this agreement to delineate the terms, conditions, and rules of membership regarding the participation in the USDA AmeriCorps Program. This agreement is hereby entered into on this day of 1994, between the United States Department of Agriculture (hereinafter referred to as the "Program") and (hereinafter referred to as the "Member.) II. Minimum Qualification The Member certifies that he/she is a United States citizen, a national or a legal permanent resident and at least 17 years of age (or 16 in the case of a Youth Corps members). III. Terms of Service Appendix Q (a) The Member's term of service begins on and ends on . This term of service may be extended by the Member with the approval of the Program Director, in writing for the following reason: the Member's service has been suspended due to compelling personal circumstances. (b) The Member will complete a minimum of 1812 hours of service during this period. Of these 1812 hours, 40 hours will be excused absence, 72 hours will be for holidays, and 20% of these hours may be training, education, or other similar approved activities. (c) The Member understands that in order to be eligible for serving a second term of service, the Member must receive satisfactory performance reviews for any previous term of service. The Member's eligibility for a second term of service will be based on at least a mid-term and end of term evaluation of the Member's performance focusing on factors such as: whether the Member has-- (1) completed the required number of hours; (2) satisfactorily completed assignments, tasks, or projects; and (3) met any other criteria that were clearly communicated both orally and in writing at the beginning of the term of service. (d) The Member understands, however, that mere eligibility for an additional term of service does not guarantee selection or placement. IV. Benefits (a) The Member will receive from the Program the following benefits-- (1) a living allowance of $7,660, if the Member is a full- time participant. (The allowance will be distributed evenly over the term of service on a biweekly basis (less tax withholdings.) (2) health care insurance, if the Member is qualified for coverage. (The health insurance policy is hereto attached.) (3) a child care allowance to be provided directly to the provider, if the Member qualifies for the allowance. (b) Upon successful completion of the Member's term of 2 service, the Member will receive an education award of a value of $4,725 (This amount is for a full-time Member.) (1). Prior to using the education award, the Member agrees (in the event the Member has not yet received a high school diploma or its equivalent, including an alternative diploma or certificate for individuals with learning disabilities) to obtain a high school diploma or its equivalent (unless the Member is enrolled in an institution of higher education on an ability to benefit basis or the Program has waived the requirement due to the results of the Member's education assessment). (2) The Member understands that his/her failure to disclose to the Program any history of having been released for cause from another AmeriCorps program will render the member ineligible to receive the education award. (c) If the Member has received forbearance on a qualified student loan during the term of service, and the Member successfully completes the term of service, the National Service Trust will repay any interest that accrued on the loan during the term of service. V. Rules of Conduct The Member agrees to act in conformance with, and abide by, all current and future rules and procedures established by USDA. The AmeriCorps Program Member further agrees to act in conformance with and abide by, the provisions of 7CFR Part 735, as amended (attached). Members must not misuse government property and must conform to the specific limitations of use of such property and must conform to the specific limitations of use of such property while on official Federal government business. (a) The Member is expected to, at all times while acting in an official capacity as an AmeriCorps Member, (1) demonstrate mutual respect toward others; (2) follow directions; (3) direct concerns, problems, and suggestions to the appropriate Program official; and - (4) not engage in any activity involving proselytizing or assisting religious organizations, attempting to influence legislation or an election or aid a partisan political organization, helping or hindering union activity, or aiding a business organized for profit. (b) At no time may the Member 3 (1) engage in personal use of government vehicles, property, tools, equipment, or telephones; (2) possess or use any and all forms of addictive or hallucinatory drugs, including, but not limited to amphetamines, barbituates, cocaine, marijuana, etc.; (3) consume or be under the influence of intoxicating beverages on or in govenment-owned or leased property/vehicles; or transportation of such beverages in government vehicles. (4) Use abusive, vulgar, and discriminatory language, including verbal/sexual harassment toward fellow members, staff, supervisors, or other official contacts; (5) destroy government or personal property of others; (6) fail to comply with a supervisor's instructions, unless these instructions are clearly illegal or unsafe; (7) transport family members, pets, or any unauthorized personnel in government vehicles; (8) engage in any activity that is illegal under local, State, or Federal law; (9) engage in activities that pose a significant safety risk to others; (c) The Member understands that the following acts will also constitute a violation of the Program's rule of conduct (1) unauthorized tardiness; (2) unauthorized absences; (3) repeated use of inappropriate language (i.e. profanity) at job site; (4) failure to wear appropriate clothing to service assignments; (5) stealing or lying; (6) engaging in activity that may physically or emotionally damage other Members of the program or members of the community; or (7) failure to notify the Program of any criminal arrest or conviction that occurs during the term of service. 4 (d) For violating the above stated rules, the program will do the following (except in cases where during the term of service the Member has been charged with or convicted of a violent felony, possession, sale, or distribution of a controlled substance) (1) for the Member's first offense, an appropriate Program official will issue a verbal warning to the Member; (2) for the Member's second offense, an appropriate Program official will issue a written warning and reprimand to the Member; (3) for the Member's third offense, the member may be suspended for one day or more without compensation. (4) for the fourth offense, the Program may release the Member for cause. (e) The Member understands that he/she will be either suspended or released for cause in accordance with paragraphs (b), (d), and (e) of section VI of this agreement for committing certain acts during the term of service such as being convicted or charged with a violent felony, possession, sale or distribution of a controlled substance. VI. Release from Term of Service (a) The Member understands that he/she may be released for the following two reasons: (1) for cause, as explained in paragraph (b) of this section; or (2) compelling personal circumstances as defined in paragraph (c) of this section. (b) The Program will release the member for cause for the following reasons: (1) the Member has dropped out of the Program without obtaining a release for compelling personal circumstances from the appropriate Program official; (2) during the term of service the Member has been charged with a violent felony or the sale or distribution of a controlled substance; (3) the member has committed a fourth offense in accordance with paragraph (d) of section V of this agreement; or (4) any other serious breach that in the judgment of the 5 Director of the Program would undermine the effectiveness of the program. (c) The Program may release the Member from the term of service, due to compelling personal circumstances if-- (1) the Member has a serious injury or illness that makes completing the term impossible; (2) there is a serious injury, illness or death of an immediate family member and the member is needed to care for that family member or take over the duties of the family member; (3) the Member is drafted by the Armed Services of the United States; or (4) some other circumstance occurs that makes it impossible or very difficult for the Member to complete the term of service and the Program deems that circumstance to be compelling. (d) The Program will suspend the Member's term of service for the following reasons: (1) during the term of service the Member has been charged with a violent felony or the sale or distribution of a controlled substance. (If the Member is found not guilty or the charge is dismissed, the Member may resume his/her term of service. The Member, however, will not receive back living allowances or credit for any service hours missed.) (2) during the term of service the Member has been convicted of a first offense of possession of a controlled substance. (If the Member, however, demonstrates that he/she has enrolled in an approved drug rehabilitation program, the Member may resume his/her term of service. The Member will not receive back living allowances or credit for any service hours missed.) (e) The Program may suspend the Member's term of service for violating the rule of conduct provision in accordance with the rules set forth in paragraph (c) in section V of this agreement. (f) If the Member discontinues his/her term of service for any reason other than a release for compelling personal circumstances as described in paragraph (b), (d), and (e), the member will cease to receive the benefits described in paragraph (a) of section IV and will receive no portion of the education award or interest payments. (g) If the Member discontinues his/her term of service due to 6 compelling personal circumstances as described in paragraph (b) of section V of this agreement, the member will cease to receive benefits described in Section IV. If, however, the Member has completed at least 15% of the required service hours (250 service hours) the Member will receive a pro-rated portion of the education award or interest payments described in paragraphs (b) and (c) of section IV. VII. Grievance Procedures (a) The Member understands that the Program has a -grievance procedure (outlined in the Member Orientation Handbook) to resolve disputes concerning the Member's suspension, dismissal, service evaluation or proposed service assignment; (b) The Member understands that, as a participant of the program, he/she may file a grievance in accordance with the Program's grievance procedure which is set forth in a separate document and hereto attached. VIII. USDA Responsibilities to Members: (1) have selected all AmeriCorps Members in an impartial and non-discriminatory manner that bolsters AmeriCorps' vision of diversity; (2) provide AmeriCorps Members with approved handbooks, documents, and forms needed to follow the provisions of AmeriCorps and the National and Community Service Trust Act of 1993; (3) provide AmeriCorps Members with the orientation, training, technical assistance, and supervision necessary to complete their service activities; (4) provide all AmeriCorps Members with ongoing education and instruction needed not only to perform their specific service projects, but to grow and develop as citizens, community problem- solvers, and developing professionals; (5) design and coordinate service project? for AmeriCorps Members so that the members will continuously have productive and useful service projects in environmental or human needs; (6) structure work- schedules to ensure that-AmeriCorps members will be reasonably able to perform 1,700 hours of service within a year; (7) treat all AmeriCorps Members with respect and provide them with the guidance, support, discipline, and counseling they reasonably require to perform AmeriCorps service; (8) work with AmeriCorps Members to develop mechanisms 7 through which the AmeriCorps Members can have significant input and impact upon service assignments, rules of conduct, and all other aspects -of the AmeriCorps; and (9) provide other additional support and services to ensure the success of all programs. IX. Amendments to This Agreement This agreement may be changed or revised by written consent by both parties. X. Authorization The Member and Program hereby acknowledge by their signatures that they have read, understand, and agree to all terms and conditions of this agreement. AmeriCorps Member USDA Program Director 8 RURAL AND PROFESSIONAL DEVELOPMENT CORPS AGREEMENT OF PARTICIPATION IN THE USDA AMERICORPS PROGRAM Whereas, the Corporation for National and Community Service (CNCS) and the United States Department of Agriculture (USDA) have jointly entered into this agreement to promote national and community services among the citizens of the United States to help meet human, educational, environmental and public safety needs, particularly those related to proverty. Whereas, the mission of the USDA AmeriCorps program is to engage a diverse group of Americans in working partnerships with communities to provide real and measurable service to meet environmental and human needs, while earning education benefits and building an ethic of service, responsibility, and citizenship. Whereas, USDA actively supports the development of the nation's youth through programs such as AmeriCorps. Therefore, the usda will operate it's AmeriCorps Program to further objectives of mutual civic obligation. AUTHORITY: This agreement is entered into pursuant to the authority of the National and Community Service Act of 1990 as amended (42 U.S.C. 12501 et. Seq.), Public Law 103-82. I. Purpose It is the purpose of this agreement to delineate the terms, conditions, and rules of membership regarding the participation in the USDA AmeriCorps Program. This agreement is hereby entered into on this day of 1994, between the United States Department of Agriculture (hereinafter referred to as the "Program") and (hereinafter referred to as the "Member.) II. Minimum Qualification The Member certifies that he/she is a United States citizen, a national or a legal permanent resident and at least 17 years of age (or 16 in the case of a Youth Corps members). III. Terms of Service (a) The Member's term of service begins on and ends on . This term of service may be extended by the Member with the approval of the Program Director, in writing for the following reason: the Member's service has been suspended due to compelling personal circumstances. (b) The Member will complete a minimum of 1812 hours of service during this period. Of these 1812 hours, 40 hours will be excused absence, 72 hours will be for holidays, and 20% of these hours may be training, education, or other similar approved activities. (c) The Member understands that in order to be eligible for serving a second term of service, the Member must receive satisfactory performance reviews for any previous term of service. The Member's eligibility for a second term of service will be based on at least a mid-term and end of term evaluation of the Member's performance focusing on factors such as: whether the Member has-- (1) completed the required number of hours; (2) satisfactorily completed assignments, tasks, or projects; and (3) met any other criteria that were clearly communicated both orally and in writing at the beginning of the term of service. (d) The Member understands, however, that mere eligibility for an additional term of service does not guarantee selection or placement. IV. Benefits (a) The Member will receive from the Program the following benefits-- (1) a living allowance of $12,000, if the Member is a full- time participant. (The allowance will be distributed evenly over the term of service on a biweekly basis (less tax withholdings.) (2) health care insurance, if the Member is qualified for coverage. (The health insurance policy is hereto attached.) (3) a child care allowance to be provided directly to the provider, if the Member qualifies for the allowance. (b) Upon successful completion of the Member's term of 2 service, the Member will receive an education award of a value of $4,725 (This amount is for a full-time Member.) (1) Prior to using the education award, the Member agrees (in the event the Member has not yet received a high school diploma or its equivalent, including an alternative diploma or certificate for individuals with learning disabilities) to obtain a high school diploma or its equivalent (unless the Member is enrolled in an institution of higher education on an ability to benefit basis or the Program has waived the requirement due to the results of the Member's education assessment). (2) The Member understands that his/her failure to disclose to the Program any history of having been released for cause from another AmeriCorps program will render the member ineligible to receive the education award. (c) If the Member has received forbearance on a qualified student loan during the term of service, and the Member successfully completes the term of service, the National Service Trust will repay any interest that accrued on the loan during the term of service. V. Rules of Conduct The Member agrees to act in conformance with, and abide by, all current and future rules and procedures established by USDA. The AmeriCorps Program Member further agrees to act in conformance with and abide by, the provisions of 7CFR Part 735, as amended (attached). Members must not misuse government property and must conform to the specific limitations of use of such property and must conform to the specific limitations of use of such property while on official Federal government business. (a) The Member is expected to, at all times while acting in an official capacity as an AmeriCorps Member, (1) demonstrate mutual respect toward others; (2) follow directions; (3) direct concerns, problems, and suggestions to the appropriate Program official; and (4) not engage in any activity involving proselytizing or assisting religious organizations, attempting to influence legislation or an election or aid a partisan political organization, helping or hindering union activity, or aiding a business organized for profit. (b) At no time may the Member 3 (1) engage in personal use of government vehicles, property, tools, equipment, or telephones; (2) possess or use any and all forms of addictive or hallucinatory drugs, including, but not limited to amphetamines, barbituates, cocaine, marijuana, etc.; (3) consume or be under the influence of intoxicating beverages on or in govenment-owned or leased property/vehicles; or transportation of such beverages in government vehicles. (4) Use abusive, vulgar, and discriminatory language, including verbal/sexual harassment toward fellow members, staff, supervisors, or other official contacts; (5) destroy government or personal property of others; (6) fail to comply with a supervisor's instructions, unless these instructions are clearly illegal or unsafe; (7) transport family members, pets, or any unauthorized personnel in government vehicles; (8) engage ir any activity that is illegal under local, State, or Federal law; (9) engage in activities that pose a significant safety risk to others; (c) The Member understands that the following acts will also constitute a violation of the Program's rule of conduct (1) unauthorized tardiness; (2) unauthorized absences; (3) repeated use of inappropriate language (i.e. profanity) at job site; (4) failure to wear appropriate clothing to service assignments; (5) stealing or lying; (6) engaging in activity that may physically or emotionally damage other Members of the program or members of the community; or (7) failure to notify the Program of any criminal arrest or conviction that occurs during the term of service. (d) For violating the above stated rules, the program will do the following (except in cases where during the term of service the Member has been charged with or convicted of a violent felony, possession, sale, or distribution of a controlled substance) (1) for the Member's first offense, an appropriate Program official will issue a verbal warning to the Member; (2) for the Member's second offense, an appropriate Program official will issue a written warning and reprimand to the Member; (3) for the Member's third offense, the member may be suspended for one day or more without compensation. (4) for the fourth offense, the Program may release the Member for cause. (e) The Member understands that he/she will be either suspended or released for cause in accordance with paragraphs (b), (d), and (e) of section VI of this agreement for committing certain acts during the term of service such as being convicted or charged with a violent felony, possession, sale or distribution of a controlled substance. VI. Release from Term of Service (a) The Member understands that he/she may be released for the following two reasons: (1) for cause, as explained in paragraph (b) of this section; or (2) compelling personal circumstances as defined in paragraph (c) of this section. (b) The Program will release the member for cause for the following reasons: (1) the Member has dropped out of the Program without obtaining a release for compelling personal circumstances from the appropriate Program official; (2) during the term of service the Member has been charged with a violent felony or the sale or distribution of a controlled substance; (3) the member has committed a fourth offense in accordance with paragraph (d) of section V of this agreement; or (4) any other serious breach that in the judgment of the 5 Director of the Program would undermine the effectiveness of the program. (c) The Program may release the Member from the term of service, due to compelling personal circumstances if-- (1) the Member has a serious injury or illness that makes completing the term impossible; (2) there is a serious injury, illness or death of an immediate family member and the member is needed to care for that family member or take over the duties of the family member; (3) the Member is drafted by the Armed Services of the United States; or (4) some other circumstance occurs that makes it impossible or very difficult for the Member to complete the term of service and the Program deems that circumstance to be compelling. (d) The Program will suspend the Member's term of service for the following reasons: (1) during the term of service the Member has been charged with a violent felony or the sale or distribution of a controlled substance. (If the Member is found not guilty or the charge is dismissed, the Member may resume his/her term of service. The Member, however, will not receive back living allowances or credit for any service hours missed.) (2) during the term of service the Member has been convicted of a first offense of possession of a controlled substance. (If the Member, however, demonstrates that he/she has enrolled in an approved drug rehabilitation program, the Member may resume his/her term of service. The Member will not receive back living allowances or credit for any service hours missed.) (e) The Program may suspend the Member's term of service for violating the rule of conduct provision in accordance with the rules set forth in paragraph (c) in section V of this agreement. (f) If the Member discontinues his/her term of service for any reason other than a release for compelling personal circumstances as described in paragraph (b), (d), and (e), the member will cease to receive the benefits described in paragraph (a) of section IV and will receive no portion of the education award or interest payments. (g) If the Member discontinues his/her term of service due to 6 compelling personal circumstances as described in paragraph (b) of section V of this agreement, the member will cease to receive benefits described in Section IV. If, however, the Member has completed at least 15% of the required service hours (250 service hours) the Member will receive a pro-rated portion of the education award or interest payments described in paragraphs (b) and (c) of section IV. VII. Grievance Procedures (a) The Member understands that the Program has a grievance procedure (outlined in the Member Orientation Handbook) to resolve disputes concerning the Member's suspension, dismissal, service evaluation or proposed service assignment; (b) The Member understands that, as a participant of the program, he/she may file a grievance in accordance with the Program's grievance procedure which is set forth in a separate document and hereto attached. VIII. USDA Responsibilities to Members: (1) have selected all AmeriCorps Members in an impartial and non-discriminatory manner that bolsters AmeriCorps' vision of diversity; (2) provide AmeriCorps Members with approved handbooks, documents, and forms needed to follow the provisions of AmeriCorps and the National and Community Service Trust Act of 1993; (3) provide AmeriCorps Members with the orientation, training, technical assistance, and supervision necessary to complete their service activities; (4) provide all AmeriCorps Members with ongoing education and instruction needed not only to perform their specific service projects, but to grow and develop as citizens, community problem- solvers, and developing professionals; (5) design and coordinate service projects for AmeriCorps Members so that the members will continuously have productive and useful service projects in environmental or human needs; (6) structure work schedules to ensure that AmeriCorps members will be reasonably able to perform 1,700 hours of service within a year; (7) treat all AmeriCorps Members with respect and provide them with the guidance, support, discipline, and counseling they reasonably require to perform AmeriCorps service; (8) work with AmeriCorps Members to develop mechanisms 7 through which the AmeriCorps Members can have significant input and impact upon service assignments, rules of conduct, and all other aspects of the AmeriCorps; and (9) provide other additional support and services to ensure the success of all programs. IX. Amendments to This Agreement This agreement may be changed or revised by written consent by both parties. X. Authorization The Member and Program hereby acknowledge by their signatures that they have read, understand, and agree to all terms and conditions of this agreement. AmeriCorps Member USDA Program Director 8 AMERICORPY A SECURITY BUTD name BPM nume or MAXICA - USDA AMERICORPS MEMBER SEMI-ANNUAL PERFORMANCE APPRAISAL NAME: DATE: LOCATION: SITE #: Yes No 1. Is Member's work neat, accurate, & complete? 2. Is Member prompt in completing job tasks? 3. Does Member take initiative? 4. Does Member readily accept responsibility? 5. Does Member follow instructions accurately? 6. Is Member punctual? 7. Is Member absent from place of work for unauthorized intervals? 8. Does Member follow appropriate safety procedures? 9. Does Member wear appropriate clothing for tasks? 10. Does Member participate in training sessions? 11. Does Member accept constructive criticism and take steps for improvement? 12. Is Member cooperative? 13. Does Member appear to have a good attitude? 14. Does Member work well with others? 15. Does Member show respect for others? 16. Do you feel that the Member is well placed? 17. Does the Member display a desire to participate in National Service? 18. Would you recommend this person for a second term? 19. Did Member contribute to meeting objectives? 20. Other? (Supervisor's Signature) (Date) (Member's Signature) (Date) (Place any comments on back of form.) Appendix R Send comments on this form to OMB Paperwork Reduction Project (3045-0009 Washington, D.C. 20503 OMB# 3045-0009 Expires 6/1/97 NATIONAL SERVICE TRUST CORPORATION NATIONAL SPENIC END OF TERM OF SERVICE FORM FOR NATIONAL SERVICE Please CAREFULLY read instructions BEFORE. illing out BOTH sides of this form, USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circles. 1. Print clearly your full name, including middle initial. 2. Provide your Social Security number. 3. Print clearly your current address and phone numbers. 4. Print clearly your permanent address and phone numbers. (If the same as your current address, write "SAME".) 5. Sign your name and enter today's date. 1. Participant's name?: Last Middle Initial First 2. What is your SSN? SOCIAL SECURITY NUMBER + I 0 0 0 0 O 0 0 0 0 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 8 8 OF 8 8 8 8 8 8 9 9 9 9 0 9 9 9 9 3. Current Address 4. Permanent Address (All information will be sent to you at this address until you notify (Name and address of a person through whom you can always the Corporation of a change of address.) be reached.) Number and Street Name City and State Zip Code Number and Street Home Phone City and State Zip Code Business or School Phone Home Phone Business or School Phone Participant's Signature: Date: PRIVACY ACT NOTICE Appendix S The collection of this information is authorized by the provisions of the National and Community Servic the National and Community Service Trust Act of 1993. Information will be used to verify completion of National Service Trust. The information will not be disclosed outside the government without written permission. 6/94 Questions 6- 240 be filled put Approving Official USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circles. Sections 6-12 must be completed by one of the following: (a) the State Director of the Corporation for National Service if participant is a VISTA participant. (b) the Camp Commander or his/her designee if participant is a National Civilian Community Corps participant. (c) the Program Director if participant is an AmeriCorps USA program participant. 6. Enter the hours of service completed under the National Service Program. VISTA and National Civilian Community Corps programs should not complete this item. 7. Show the ending date of the term of service. 8. Indicate whether the participant was enrolled in a full-time or part-time program. If a VISTA or a National Civilian Community Corps participant, mark "Full-time" program unless enrolled in the summer program. If an AmeriCorps USA participant, indicate whether the individual was a full-time participant (minimum of 1700 hours), a part-time participant (900 hours), a reduced part-time participant (less than 900 hours), or a summer participant. 9. Give the name of the program or project. 10. Show the Program or Project ID that has been assigned to this program by the Corporation. 11. Indicate the type of termination of the end of service. Please be sure to follow the Corporation's regulations in making this selection. If participant is continuing service for another term under the National Service Trust on this or another project, another Trust Enrollment form must be completed. 12. Print your name, then sign and date the Certification of Service. 6. Hours of service 7. Date of 8. Type of Participant Enrollment: completed Completion (Mark only one.) DATE HOURS Full-time MO. DAY YR. Part-time Reduced part-time Summer 0 0 0 0 0 0 0 0 0 0 Other (Specify: ) 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 4 4 A 4 4 4 4 4 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 8 8 8 8 00 8 8 8 9 9 9 9 9 9 9 9 9. Name of Program/Project: 10. Program/Project ID Number: 11. Type of termination: Completion of service as scheduled and eligible for an education award. Early termination for Cause and not eligible for an education award. Early termination for Compelling Personal Circumstance and eligible for a partial education award. 12. Certification of Service: I certify that this individual performed the service indicated above. Name of Authorized Certifying Official Signature of Authorized Certifying Official Date DesignExpert by NCS Printed in U.S.A. Mark Reflex® EM-156923:321 AHR03 Send comments on this form (OMB# 3045-0015) to The Corporation for National Service, Washington, D.C. 20525 AMERICORPS CORPORATION AMERICORPS DEPARTMENT SERVICE A FOR NATIONAL MEMBER EXIT FORM SERVICE USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. Make black marks that fill the circles. Program Identification: In what AmeriCorps program did you participate? AmeriCorps VISTA AmeriCorps NCCC AmeriCorps USA Other Participant Identification: Participant's SSN: Participant's Name: SOCIAL SECURITY (Print clearly.) First Middle Initial Last NUMBER 0 1 1 1 1 1 The Corporation for National Service is very Interested in your experiences in 2 2 2 2 2 2 2 2 the AmeriCorps program. We will use your comments from this form to help 3 3 3 us improve future programs." Your answers on this form will be kept 4 4 4 4 4 4 4 4 4 completely private. No one from your program will know how you answer. 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 ease answer the questions honestly, then fold and seal the form. 7 7 7 7 7 7 7 hank you! 8 8 8 8 B 8 8 8 8 9 9 9 9 9 1. Did you complete your AmeriCorps term of 2. If a friend was thinking about joining your service? AmeriCorps program, how strongly would you encourage your friend to join? Yes (skip to question 2) No (continue below) you left your program: 0000 Strongly encourage joining Please indicate below the main reason why Encourage joining Discourage joining Strongly discourage joining Got a job/expanded working hours Enrolled in a job training program 00000000000 Enrolled in another service program 3. How likely are you to volunteer to serve your Dissatisfied with assigned tasks community in the future? Enlisted in the military Enrolled in school Very likely Dissatisfied with program staff/supervisor Likely Moved away Not likely Health reasons Not at all Left at parent's request Asked to leave the program by project 4. Thinking about your answer to question 3, how manager much did your AmeriCorps experience affect your Left program for other personal reasons feelings about serving your community? (please specify ) Very much Somewhat Not much Not at all Appendix T PRIVACY ACT NOTICE The collection of this information is authorized by the provisions of the National and Community Service Act, as amended by the National and Community Service Trust Act of 1993. Information will be used for reporting purposes only. The information will not be disclosed on an individual basis outside the government without written permission. 11/94 DesignExpert™ by NCS Printed in U.S.A. Mark Refiex EM-158776:654321 AHR04 5. How likely are you to continue your education? 9. Did you benefit from participating in AmeriCorps? 0000 Very likely Likely No (skip to question 10) Not likely Yes Not at all Please indicate below the primary benefits you received: (mark all that apply) 6. Thinking about your answer to question 5, how much did your AmeriCorps experience Learned about or worked with different affect your feelings about continuing your ethnic/cultural groups education? Explored future job/educational interests Learned about public safety issues 0000 Very much Somewhat 0000000000000 Learned about environmental issues Made new friends Not much Served my community Not at all Developed leadership skills Obtained an educational scholarship Helped others 7. If you plan to continue your education, at what Gained communication skills level will you continue in school? Learned job skills Accomplished a specific task High School Made money 00000 Tech/trade school Was part of a national movement Junior College College/University Other (specify ) 10. How satisfied were you with: 8. Did you receive academic credit or a General Equivalency Diploma (GED) as a result of your participation in the program? Tery Salstial paysitiessia Very 00 No (skip to question 9) Yes (continue below) a. Your overall AmeriCorps experience Please indicate below what type of academic b. The service activities you credit: performed this year C. The training you received GED d. The progress you made toward 00000 College Credit Hours completing your assignments C Workstudy Credits e. The support (transportation, CEUs (Continuing Education Units) tools, materials) you received to Other (specify ) do your assignments f. The local program staff when you had questions or needed help g. The effect your work had on the community 11. What do you feel were the two most important skills you learned through AmeriCorps? 1. 2. 12. What did you like most about your AmeriCorps program? 13. What did you like least about your AmeriCorps program? 14. What recommendations do you have for improving the program next year? 2 OMB N: 3200-0015 AMERICORPS CORPORATION NATIONAL A SPERICE FOR NATIONAL SERVICE Corporation for National Service AmeriCorps*USA OPERATING SITE INFORMATION FORM Instructions This form should be completed by every AmeriCorps operating site at the beginning of the grant period. Before completing this form, please review the definitions and examples below. If after reading the definitions and examples, you are still uncertain about who completes this form, please contact the Office of Evaluation at the Corporation for National Service, 202-606-5000 (x488). SECTION I - Operating Site Identification Corporation Grantee: The organization that receives money directly from the Corporation. Generally, the grantee is also the legal applicant. State Commissions. national non-profits, tribal governments, and federal agencies are usually the Corporation grantees. Operating Site: The final unit that performs direct service and administers AmeriCorps grant money. An operating site has an AmeriCorps budget and a staff. It is responsible for Member supervision, record keeping. program administration, etc. Operating Site ID: A Corporation-issued identification number based on Corporation grantee ID numbers. The attached reference guide lists all operating site IDs by State. If you have any questions, please call your Corporation Grantee or the Office of Evaluation. Operating Site Congressional Districts: The congressional districts in which the operating site provides services. National Non-Profit/Federal Agency Examples Example 1: A national non-profit organization. Helping America!. receives a grant from the Corporation. Helping America! awards some of its grant money to a Helping America! program called Volunteers in Action. Volunteers in Action places individual AmeriCorps Members in community-based organizations. The Corporation grantee is Helping America!. The operating site is Volunteers in Action. The host organizations are the community-based organizations. Who completes this form?: VOLUNTEERS IN ACTION Example 2: A national non-profit organization (or federal agency) receives a grant from the Corporation. The national non-profit organization provides money to five regional offices. From those offices, teams of AmeriCorps Members work on environmental projects in concert with environmental non-profits in each region. The Corporation grantee is the national non-profit. The operating sites are the regional offices. The host organizations are the environmental non-profits. Who completes this form?: EACH REGIONAL OFFICE Continued on next Appendix U State Commission Examples Example 1: A State Commission receives a grant from the Corporation. It awards a subgrant to a non-profit organization. The non-profit organization places AmeriCorps Members in community organizations throughout the state, and there are no administrative "offices" between the non-profit and the Members. The Corporation grantee is the State Commission. The operating site is the non-profit organization. The host organizations are the community organizations throughout the state where the AmeriCorps Members serve. Who completes this form?: THE NON-PROFIT ORGANIZATION THAT RECEIVED THE STATE COMMISSION GRANT Example 2: A State Commission receives a grant from the Corporation to operate a state conservation corps. The corps has a city office and a rural office. Each office manages several teams. The city teams renovate parks and green space with the city Recreation Department: the rural teams do stream rehabilitation with the state Environmental Agencý. The Corporation grantee is the State Commission. The operating sites are the city and rural offices. The host organizations are the Recreation Department and the Environmental Agency. Who completes this form?: THE CITY AND RURAL OFFICES SECTION II - Operating Site Profile Urban/suburban/rural: The program setting or settings in which most of your Members work. Residential/non-residential: If your Members live in AmeriCorps-provided dormitories or housing, your operating site is residential: if they do not. it is non-residential. Individual-based: Operating sites using an individual placement model in which Members are assigned to project sites in small numbers (one or two per site) and generally work under the supervision of host organization personnel. Crew-based or Team-based: Operating sites using a corps model in which Members work in larger groups and are generally supervised by AmeriCorps personnel. Direct Service: Service provided by Members that directly benefits service recipients. Coordinating Volunteers: Service provided by Members that consists primarily of recruiting. coordinating, and supervising non-paid community volunteers. who. in turn, provide service. SECTION III - Primary Partners Host Organizations: Those organizations through which your Members provide services. Please be as specific as possible, identifying the unit within your host organization that directly coordinates your service. For example, an operating site providing services in a national park should identify the park administrative unit with whom they work, not the Department of the Interior. Funders: Those organizations or individuals who provide funds for the AmeriCorps operating site. Please include cash amounts as well as the estimated value of in-kind contributions. On the first line, indicate the amount your operating site receives from the Corporation grant (either directly or through a subgrant). If you receive funds from your Corporation grantee beyond those that originally came from the Corporation, and you know the ultimate source of those funds (i.e., the contributors to your Corporation grantee). please provide the names of those contributors. Otherwise, include your Corporation grantee as a source of funding. If you anticipate receiving funding from an organization but the funds have not yet been committed, please list that organization in the "Anticipated Funders" column. When categorizing your contributors, report private individuals as "other." SECTION IV - Direct Services For each priority area that is a primary focus of your service, mark all the services you provide. Then complete part b by estimating the proportion of your total service time that is devoted to that priority. Your responses to the five part b questions (education, human needs, public safety. environment, other) should sum to 100 percent of your direct service time. SECTIONS V, VI - Other Service Information Please mark the appropriate ovals as indicated. SECTION VII - Operating Site Description Please provide a description of your operating site and the services your AmeriCorps Members provide. USE NO. 2 PENCIL ONLY! Erase cleanly any changes or stray marks. WRONG MARKS X . RIGHT MARK SECTION I Operating Site Identification orporation Grantee: Operating Site Name: Operating Telephone: 1. ( ) Site ID: 93 A D C A N A N 0 0 0 0 0 0 0 94 L H D B O B O 1 1 1 1 1 1 1 2. ( ) 95 N M F C P C P 2 2 2 2 2 2 2 S L D Q D o 3 3 3 3 3 3 3 N E R E R 4 4 4 4 4 4 4 F S F S 5 5 5 5 5 5 5 Fax Number: ( ) G T G T 6 6 6 6 6 6 6 H U H U 7 7 7 7 7 7 7 First Date of Member I V I V 8 8 8 8 8 8 8 Training or Service: J W J W 9 9 9 9 9 9 9 (use earlier date) K X K X L Y L Y M 2 M 2 Note: Insert only one letter in each of these blocks. Operating Site Address: Number and Street City and State ZIP Code Operating Site Congressional Districts (please use the district numbers): Mail Address: Who completed this form (please print): Date form was completed: Month Day Year SECTION II Operating Site Profile 1. Is your program: (mark one) a. Primarily Urban Primarily Rural Primarily Suburban Mixed Describe Briefly (mark one) b. Residential Non-Residential (mark one) c. Individual-based, providing direct service Individual-based, "coordinating" volunteers Crew-based Team-based, Crew-based/Team-based, providing direct service "coordinating" volunteers 2. Number of paid staff involved with AmeriCorps when fully operational (do not include AmeriCorps Members): (full-time) (part-time) 3. Number of AmeriCorps Members who will be enrolled at your operating site when you are fully operational: 4. Did your Corporation grantee operate a service program prior to this program year? : Yes No - If "Yes." was it an AmeriCorps-type program? Yes No 5. Did your operating site operate a service program prior to this program year? Yes - No If "Yes," was it an AmeriCorps-type program? Yes No SECTION III Primary Partners Current and Anticipated Host Organizations: Organization Codes 1 = For-profit organization If your Members provide service through other organizations, 2 = Community-based organization. Non-profit please list those organizations below. Be as specific as 3 = Federal Government 4 = State Government possible: e.g.. if Members serve in schools. list the schools by 5 = Local Government name rather than the district. 6 = Educational institution/organization 7 = Foundation 8 = Religious organization 9 Other Name ZIP Code Type of Organization (mark one) ex: Anytown Junior Hiah School 22222 123456789 1. 123456789 2. 123456789 3. 123456789 4. 123456789 5. 123456789 6. 123456789 7. 123456789 8. 123456789 9. 123456789 10. 123456789 11. 123456789 12. 123456789 13. 123456789 14. 123456789 15. 123456789 16. 123456789 17. 123456789 18. 123456789 19. 123456789 20. 123456789 21. 123456789 22. 123456789 23. 123456789 24. 123456789 25. 123456789 26. 123456789 27. 123456789 28. 123456789 29. 123456789 30. 123456789 Current and Anticipated Funders: Organization Codes 1 = For-profit organization 2 = Community-based organization. Non-profit Print or type the full name and ZIP 3 = Federal Government code of your primary funders: 4= State Government 5 = Local Government 6 = Educational institution/organization 7 = Foundation 8 = Religious organization 9 = Other FUNDING AMOUNTS Type of Organization Current Funders ZIP Code Cash In-kind Total (mark one) 1. Corporation for National Service 20525 123456789 2. 123456789 3. 123456789 4. 123456789 5. 123456789 6. 123456789 7. 123456789 8. 123456789 9. 123456789 10. 123456789 11. 123456789 123456789 13. 123456789 14. 123456789 15. 123456789 Anticipated Funders 1. 123456789 2. 123456789 3. 123474789 4. 123456789 5. 123456769 6. 123456769 7. 123456789 8. 123456789 9. 123456789 10. 123456789 11. 123456789 12. 123456789 123456789 14. 123456789 SECTION IV What are the primary direct services that you provide? Note: Your responses to 1b, 2b, 3b, 4b, and 5b should sum to 100 percent. 1a. Education b. About what percent 3a. Public Safety b. About what percent (Include primary services only; of direct service (Include primary services only; of direct service mark all that apply.) time is devoted to mark all that apply.) time is devoted to Education: Public Safety: School Readiness Crime Prevention Child care % Violence prevention patrols % Head start/preschool 000 Conflict resolution ... Parent literacy 1 1 1 Reduction of substance abuse 1 1 1 Other (Specify: ) 2 2 2 After school activities 2 2 2 3 3 3 Other (Specify: ) 3 3 3 School Success 4 4 4 4 6 4 Crime Control 5 5 5 5 5 5 In-class support 6 6 6 Community policing 6 6 6 After schoo! tutoring 7 7 7 Victim assistance 7 7 7 After school mentoring 8 8 8 Anti-victimization programs 868 Service-learning coordinator 9 9 9 Juvenile justice programs S OF 9 Other (Specify: ) Other (Specify: ) 2a. Human Needs b. About what percent 4a. Environment b. About what percent (Include primary services only; of direct service (Include primary services only; of direct service mark all that apply.) time is devoted to mark all that apply.) time is devoted to Human Needs: Environment: Health Neighborhood Environment Inoependent living assistance Supporting community health clinics % Revitalizing neighborhoods Eliminating environmental risks % Prenata. care 000 Energy efficiency efforts. recycling . 0 0 Hearth care to families of young children 1 1 1 Other (Specify: ) 1 1 1 Other (Specify: ) 2 2 2 2 2 2 3 3 3 3 3 3 Home 4 4 4 4 4 4 5 5 5 Natural Environment 5 5 5 Shetter support for the homeless 6 6 6 Conserving and restoring public lands 6 6 € Rehabilitating low income-housing 7 7 7 Trail maintenance 7 7 7 Public assistance transaction support 8 8 8 Natural resource sampling. mapping. and 8 8 8 Other (Specify: ) 999 montoring c. 9 9 Other (Specify: ) 5a. Other b. About what percent of direct service is (Specify ) devoted to service work in other areas: % 000 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 9 9 9 Who are the primary beneficiaries of the services your Members provide? SECTION V (Include primary beneficiaries only; mark all that apply.) Primary Beneficiaries Pre-School children K-12 students Coliege students Young adults (ages 17-24) Senior citizens General public Educationally disadvantaged Economically disadvantaged Mentally disabled persons Physically challenged persons Homeless Low-income housing residents Unemployed "At-Risk" youth Immigrants. refugees Migrant workers Patients Residents in hospitals, nursing homes, hospices, other long-term care facilities Substance-dependent individuals Outdoor recreationalists Environmentalists conservationists Families Parents Business Community Veterans Other (Specify: ) SECTION VI What are the major services you provide for Members? (Mark all that apply.) a. Basic Education b. Occupational Education Basic'remedial education Communication skills Eng. sh. as a second language Working in teams General education development (GED) General employment skills preparation Specific occupational skills Tutoring. other preparatory assistance Work experience. job shadowing. etc. Other (Specify: ) Career awareness, job search skills Other (Specify: ) c. Participant Development d. Life Skills Leadership training Parenting and family management Self-esteem enhancement Nutrition Refiection/community awareness Personal health care Citizenship education Personal finances Mediation training Individual or group counseling Other (Specify: ) Interpersonal skills Substance abuse prevention program Substance abuse treatment program CPR training Other (Specify: ) National Information Systems (NIS) 11/94 EM-158009:654321 AHR04 SECTION VII Please describe in 3-4 sentences your operating site and the services your AmeriCorps Members provide. EXAMPLE: A major cause of infant mortality in X is poor prenatal care. Through AmeriCorps, Members conduct door-to-door community outreach to educate mothers and their families about the importance and availability of care. They also staff traveling health clinics which reach women who are homebound. AmeriCorps Members expect to increase clinic use by 25%. THANK YOU! REATIONAL AMERICORP A SECURITY E STATES - - . ICA USDA/AmeriCorps Program Member Acknowledgment Safety Form 1, / as a Member of the USDA AmeriCorps Program, make my personal commitment to help strengthen the ability of communities to respond to problems of hunger, rural development and the environment. I understand my assignments may include, among other things, (Programs to fill in. Examples: planting trees, cleaning streambeds, performing water quality assessments, providing food assistance to the needy, and providing assistance to Native Americans.) It is further understood and acknowledged that although training and reasonable precautions will be taken to protect my safety, my assignments may involve some risk. Signature Date Date of Birth If you have not reached your eighteenth birthday by the date of the signing of this acknowledgment, a parent or legal guardian must also sign below. Parent or Legal Guardian Date Appendix V LEVELS OF SUPERVISION/COORDINATION The level of supervision is often dependent on the management structure of the organization sponsoring the project. NRCS (formerly SCS) for example is structured along state lines. There is a manager in each state. The Forest Service is structured along regional lines where regions encompass several states. The following levels of supervision were defined so that the level of supervision provided by a state level contact for NRCS could be related to the appropriate level of supervision provided by other agencies such as the Forest Service. These definitions are important in tracking who is responsible for members, who should receive various training and information, and who is responsible for objectives and progress reports. For the USDA/AmeriCorps Program/Project I.D. Number the lowest level of supervision that we want to track is defined as either the SITE SUPERVISOR or the FOREST SERVICE CAMP DIR. a. SITE SUPERVISOR - The person who is the closest level or unit of management to the AmeriCorps member who is NOT a team leader. In instances where the group of members is so large that there are team leaders, the site supervisor would be the supervisor of the team leaders. In anti-hunger groups this is Elizabeth Riley or Tony Perez. In Public Lands groups this is the supervisor of a group of members. In NRCS groups this is the long term supervisor of a group of members, not the person who oversees the work of a team for a few weeks. In rural development groups this is the person who is directly supervising the member (s). b. FOREST SERVICE CAMP DIR - PUB LND - This level distinguishes between a public land site supervisor overseeing a crew of ten members and the supervisor responsible for a camp with many more members. Randy Scurry is an example of this type of manager. Appendix W The table below shows the levels of supervision as they relate to different agencies for the FY 94 AmeriCorps projects. Level of Forest Service NRCS RECD Super/coord I. Site Supervisor Camp Director Site Site RDT Supervisor Supervisor Supervisor II. Agency RDT Field State State Coordinator Coordinator Contact Contact III. Agency Regional Regional Regional Coordinator Coordinator Coordinator IV. USDA Regional Facilitator SAMPLE PERSONNEL LETTERS TO AMERICORPS MEMBERS Dear We have received your resignation from your AmeriCorps position with the (organization name) . We regret that you are not able to finish the term of service that you have originally envisioned. You should be aware that as you leave the AmeriCorps Program, all rights and benefits from that program will cease, and you will not be entitled to receive any portion of the education award or interest payments. Because you were not classified as a Federal employee, you are not eligible for unemployment benefits. If you have any questions regarding your AmeriCorps benefits, you may contact the Corporation for National and Community Service at (202) 606-5000. We would like to thank you at this time for your contribution to the (organization name) and for the AmeriCorps spirit that you brought to the AmeriCorps project. Without caring individuals like you, this program could never succeed. We would like to ask you to complete the enclosed Member Exit Form, and return it to the (organization name) office, (address). This form will help us better evaluate and improve the AmeriCorps Program. We are glad that you were a part of the (organization name) AmeriCorps Team, (member name), and we wish you the best of luck in all of your future endeavors. If you have any questions, or if we can be of assistance in any way, feel free to call at (phone number). Human Resources Officer Appendix X Dear (Supervisor's name) on (date) reports that you have not shown up for work, nor have you called to explain you absences, since December 12, 1994. He reports that he met with on January 10, 1995 and told you to report to work on January 23, 1995 or at least inform him that you no longer wished to participate in the Program. You did not report to work nor did you call. On January 26, 1995 Mr. (supervisor) sent you a letter instructing you to report to work on January 30, 1995. This letter was sent certified, return receipt and was signed for on January 28. You did not report to work as instructed. On February 13, 1995, Mr. (supervisor) sent you a certified, return receipt, letter proposing to remove you from the AmeriCorps Program effective March 1, 1995. This letter was sent certified to the above address was returned unclaimed after three notices from the United States Post Office. Since you have not reported to work as instructed on January 20 and again the January 26 letter, I have decided to terminate you from the AmeriCorps Program effective April 15, 1995. Since you are being terminated before the completion of your agreed tour of duty, all rights and benefits from the program will cease and you will not be entitled to receive any portion of the educational award or interest payments. Because you were not a Federal employee, you are not eligible for unemployment benefits. You are entitled to use both the informal and formal grievance procedures available to AmeriCorps Members as outlined in the attached. A grievance must be made within one year of the receipt of this letter. If you have questions on the grievance process you can contact our Human Resources staff at (phone #). We are sorry that we have had to remove you. Please accept our thanks for your contributions to the (organization) Service and for the spirit that you brought to the AmeriCorps project. Sincerely, Dear I have been told that on March 2, 1995 you contacted Mr. (supervisor's name) and informed him that you were going to be working at another job in Seattle, Oregon. You told him that you would be sending in a letter of resignation from the AmeriCorps Program. As of today you have not submitted a letter of resignation; therefore, we will be accepting the March 2 telephone conversation as a verbal resignation. Our Human Resources staff will be processing your resignation effective March 3, 1995 and will provide you with additional pertinent information. If it is not your intent to resign from the AmeriCorps Program, please report back to work at our (work location) office no later than Monday, April 15, 1995. I hope that you had an enjoyable experience with AmeriCorps and that you will continue to work toward the preservation and the wise use of all of our natural resources. Sincerely, HISTORY OF NATIONAL SERVICE In times of great need, Americans For the next generation, the call have always answered the call of 1933: to service came from President John service. Our nation was founded by Franklin D. Roosevelt F. Kennedy, who developed citizens who risked everything to creates the Civilian programs such as the Peace Corps build a foundation for freedom. In Conservation Corps.' that continue to flourish today. the years since, Americans have "Ask not what your country can do struggled through service to offer Throughout this century, each for you," Kennedy said, "ask what freedom to more Americans, and to new generation of Americans has you can do for your country." eliminate discrimination and other risen to the challenge of national Responding to that call in the years great injustices. From the American service. During the Great since, thousands of Peace Corps Revolution to the Civil Rights Depression of the 1930s, President volunteers have left the comforts of Movement and from the smallest Franklin D. Roosevelt created the home and traveled to the poorest farms to the biggest cities, Civilian Conservation Corps (CCC). corners of the globe, building Americans have worked together to Four million young people joined in schools where none existed, helping improve their communities and their response-restoring the nation's farmers feed the hungry, and lives. parks, revitalizing its economy, and creating hospitals to care for the America's tradition of service has supporting their families and sick. After meeting vital needs always had strong roots in its themselves. Through eleven years overseas, returned Peace Corps communities. The country's vast of Depression, the CCC provided Volunteers have put to work at network of civic and religious billions of dollars in services and home their new knowledge of others organizations, schools, and enabled millions of families to live in and spirit of citizenship, changing businesses has been especially dignity. America for the better. important in bringing people With World War II, the GI Bill together in order to meet common linked service to education, offering 1961: goals. Since the 19th century, war veterans the opportunity to pay The Peace Corps is foreign observers have noticed how for school in return for service to established. through these groups, Americans their country. Because of the GI Bill, have shown an unusual commitment veterans improved their own lives of service-whether building new by attending college. They also The 1960s also saw the birth of homes, protecting public spaces, or contributed mightily to America's Volunteers in Service to America, helping those in need. future: with the education they or VISTA, which is now part of received, those citizens helped AmeriCorps and engages adults in spark the economic boom that gave helping low-income communities America the world's leading help themselves. Initiatives such as economy. The principles of the the Retired Senior Volunteer Corps, CCC and the GI Bill-encouraging the Foster Grandparents Program, Americans to serve and rewarding and the Senior Companion Program those who do-inspire AmeriCorps also developed in order to engage today. older Americans in the work of improving the nation. 2.3 Appendix Y In the 1970s and 1980s, a variety Some Discussion Questions of programs at the local, state, and 1994: What are the common features national levels expanded to offer AmeriCorps is of national service programs? young people opportunities to serve. launched. What are key differences? Youth corps and school and college- (You might talk to alumni of based programs mobilized Today, another President has initiatives such as the Civilian communities-the people at the called Americans to service. In his Conservation Corps, the Peace Corps, grassroots-to find and solve their Inaugural Address, President Bill and VISTA to learn more about these own problems. In a time of scarce Clinton challenged Americans to programs and compare your resources, these initiatives "seasons of service" around the experiences.) continued to involve citizens in country. In May, 1993, President -Why have service programs meeting national needs. Clinton introduced historic taken different forms during different legislation to expand opportunities periods in our history? for young Americans to serve our What are the best arguments for country, build up their communities, national service? What are the and earn awards for their own strongest objections to the idea? education in return. Months later, Democrats and Republicans in Congress joined together to pass the bill creating AmeriCorps and the agency that administers it, the Corporation for National Service. President Clinton signed the legislation, the National and Community Service Trust Act, on September 21, 1993. You are a central part of AmeriCorps— and of a vital American tradition. 2.4 THE CORPORATION FOR NATIONAL SERVICE The Corporation for National engage in "seasons of service" AMERICORPS will include more Service administers AmeriCorps and throughout the seasons of life. than 20,000 Americans ages 16 and pays many of the expenses for your There are three basic sets of older. The program's goals are program, including your education Corporation initiatives: getting things done, strengthening award and, in general, most of your community, encouraging stipend. Like other government responsibility, and offering agencies such as the Department of LEARN AND SERVE AMERICA education awards in return for Education and the Department of integrates service into education service. The AmeriCorps National programs through a method called Service Network consists of more Defense, the Corporation is supported by the American people "service learning," which enables than 300 diverse programs in every with the money they pay in taxes. young people to learn and develop state in the nation. The Network The Corporation is directly through active participation in also includes two special initiatives accountable to Congress, which service. of the Corporation: decides each year how much taxpayer money to give the Corporation. National service is an investment by Americans in America's future. L In his Inaugural Address, M President Clinton said, "I challenge CERVICE a new generation of young Americans to a season of service. There is so much to be done- -Through the K-12 program, -AmeriCorps*VIS is the thirty enough, indeed, for millions of over 275,000 school-age youth in all year-old program for men and others who are still young in spirit fifty states participate in service women ages 18 and older who to give of themselves in service, activities which are integrated into commit themselves to helping low- too." The Corporation was created their school curriculum or income people to improve their own by President Clinton's national community-based learning program, lives. AmeriCorps* VISTAs serve in service legislation in order to meet providing structured time for service rural or urban areas or on Indian his inaugural challenge. The and time for students to think, talk, reservations, sharing their skills and mission of the Corporation is to or write about their service experience in fields such as encourage service of every sort experiences. employment training, literacy, around the country. The -The Higher Education shelter for the homeless, and Corporation supports a range of Innovation Programs engage college neighborhood revitalization. national and community service students in meeting community Approximately 3,500 programs, providing opportunities needs. Some of these programs are AmeriCorps* VISTAs are currently for Americans to serve full-time and student-run; others are faculty-led; serving, joining more than 100,000 part-time, as volunteers or as many are integrated with academic alumni. stipended participants, and as study; and all help young people -AmeriCorps*NCCC, the National individuals or in teams. The Corpor- contribute to their community as Civilian Community Corps, will ation aims to enable Americans to they learn in college. involve 1,000 young people ages 2.5 Appendix Z 18-24 in programs focused on -Senior Companion Program Corporation programs, however, are environmental needs. AmeriCorps* engages low-income seniors in run by other federal, state, and local NCCC is a residential service providing individualized support and public and private non-profit program in which corpsmembers assistance to other adults, primarily organizations selected through a are housed and trained together on the homebound elderly. Their competition run by the Corporation. military bases and deployed as services help the homebound This year, more than 1200 teams to community service sites. achieve their highest level of organizations applied to operate AmeriCorps* NCCC combines the independent living, providing AmeriCorps programs, but only best of our military tradition with the disability assistance, home about 400 were selected. These best practices of local service corps. management assistance, and social programs are now working as and recreational companionship to partners with the Corporation to about 32,000 individuals each year. make sure to "get things done," S CORPS -The Retired and Senior Volunteer build community, and meet the Program (RSVP) is a network of Corporation's other goals. 430,000 Americans ages 55 or older The Corporation operates in who perform a wide range of accordance with the principles of volunteer services that meet "reinventing government"-ideas community needs. RSVP provides developed in recent years, and communities with volunteers diverse championed by Vice President in experience, interest, income and Al Gore, to make government work NATIONAL SENIOR SERVICE CORPS education, and ready to take on better and cost less. This means that engages older Americans-with their challenges of education, health care, while the Corporation makes sure great skills, talents, and experience- and community revitalization. that all programs achieve certain in addressing urgent issues facing goals, it provides programs with a the nation. Together, these HOW THE CORPORATION WORKS lot of flexibility to meet those goals. programs involve over 470,000 While the Corporation headquarters Reinventing government also means volunteers in more than 1,200 are in Washington, the Corporation treating communities and Members projects and provide more than 110 maintains program offices in nearly of AmeriCorps like customers of a million hours of service to their every state. In addition, State business. Finally, reinventing communities each year. The NSSC Commissions on National and government means measuring consists of three programs: Community Service or similar results and keeping costs down to -The Foster Grandparent Program entities appointed by the Governor ensure the highest possible return offers low-income older Americans of each State have significant on the taxpayer dollar. the opportunity to serve one-on-one responsibilities for the Corporation's The Corporation and its with children and young people who programs. programs operate in accordance have special needs, including teen The Corporation helps programs with the principle of equal oppor- parents and those who are abused to operate in two basic ways. A few tunity and do not discriminate on and neglected. Foster Grandparents Corporation initiatives, such as the basis of race, color, religion, serve 20 hours each week in AmeriCorps*NCCC and national origin, sex, age, disability, hospitals, public schools, day care AmeriCorps* VISTA, are operated or political affiliation. centers, and correctional institutions. directly by the Corporation. Most 2.6 NATIONAL SERVICE AND NATIONAL NEEDS The first goal of AmeriCorps is AMERICORPS AND EDUCATION "getting things done," or meeting Education is the key to America's the nation's unmet education, public future. In today's international EDUCATIONAL NEEDS safety, human, and environmental economy, where investment is A third of all six-year-olds needs. mobile and technology increasingly are not prepared for formal The specific work will vary complex, countries with the best education. tremendously. Some Members will educated citizens will attract the A third of all teenagers help toddlers prepare for school; best jobs and achieve the highest -drop out of high school. others will help older Americans live incomes. Education is also vital to independently. Some will work in our democratic way of life: our urban areas, supporting community society's freedom depends on our school-more than half in many policing; others will work in the citizens' education, their ability to areas. The situation is particularly national parks, preserving the read newspapers, to consider the shocking in our poorest forests. All Members will make an quality of candidates intelligently, communities: according to one important contribution to America's and to participate in civic life study, the reading proficiency of the future. effectively. And nothing is more average 17-year-old in poor urban The sections that follow give a central to individual success than areas matched that of a typical 13- brief overview of the needs that good schooling-from readiness for year-old in affluent urban areas. AmeriCorps seeks to meet and the the first day of school to excellence Functional illiteracy remains the ways it will meet them. You will on the day before graduation. If reality for millions of Americans of learn more about the particular every American is to have an equal all ages. projects of your program from your opportunity to achieve his or her AmeriCorps is poised to help team leaders and program directors. dream-and that's the American tens of thousands of Americans get And you can always get more ideal-then every American must the education they need to find information from newspapers, have access to a decent education. better jobs, become more active books, and teachers. Today, too many Americans don't citizens, and lead better lives. learn what they need and deserve in AmeriCorps Members will teach order to succeed. Many of our Americans of all different ages. In children don't arrive at school ready pre-school centers, they'll enable to learn: one out of three six-year- more of our youngest Americans to olds today isn't prepared for formal get ready for school. In after-school education. And once they get to centers, AmeriCorps Members will school, too many kids don't get provide extra individual attention needed skills, or even remain in and support to help young people school. While America's public boost their reading and math skills- schools were once the best in the and stay in school. And in literacy world, today the average skills and centers, AmeriCorps Members will scores of our young people are throw open the doors to a whole lower than in other industrialized new world by enabling adult nations like Germany and Japan. A Americans to read. third of teens today don't finish high 3.1 Appendix aa Different AmeriCorps education contributing to the community programs will work differently. PUBLIC SAFETY NEEDS policing movement. By solving Some will place Members as Every three hours, problems before they become teachers in front of the classroom. a child is murdered. crises, and by building the bonds Others will focus on providing America has the highest among citizens and with police individual tutoring and mentoring. crime rate in the officers, AmeriCorps has become an And some will engage in outreach industrialized world. important part of the fight against activities, to enable more Americans crime in which every element of the to make use of educational facilities community must do its part. already available to them. Whatever the strategy, all AmeriCorps best defense. Citizens need to work education programs will enable with each other and with police HUMAN NEEDS Americans to learn the things they officers in order to prevent crimes More than 600,000 need in order to lead better lives. before they happen. That's why Americans are homeless on AmeriCorps is so important. a given night-100,000 of AMERICORPS AND PUBLIC SAFETY AmeriCorps will help restore the them children. Recent polls show that Americans bonds of community that are Only one-half of inner city consider crime to be more important essential to safe neighborhoods. In preschool children were than any other issue facing the areas where isolation and mistrust immunized in 1990. nation today. And with good reason: are widespread, AmeriCorps the rise in crime rates represents a Members will reconnect citizens in deep crisis. The United States their efforts to reduce violence. has the highest rates of murder, Whether it's organizing crime AMERICORPS AND HUMAN NEEDS rape and violent crime in the watches, establishing safe havens, "Human needs" encompass some industrialized world. Every three providing victim assistance, offering of the most diverse and most hours, a child is murdered, and drug abuse prevention, or engaging important areas that AmeriCorps three million crimes are committed in conflict resolution, AmeriCorps will address. The three biggest each year in and around schools members will help Americans to fields are housing/homelessness, alone. Whatever their race or help themselves-building a sense health, and independent living. income, law-abiding Americans are of security and safety in place of The crisis of homelessness is afraid, and nearly half of our citizens violence and fear. both a tragedy for those who suffer fear walking around their own In what is called the "community it and a blight on the nation's neighborhoods at night. policing movement," police collective consciousness. On an While putting more police departments today are changing the average night in America, at least officers on the streets and keeping way they do their work-returning to 600,000 people are homeless- more offenders behind bars are an older model of policing, where 100,000 of them children. There are important parts of the fight against officers spend long periods of time many reasons for the rise in crime, they will never win the war in specific neighborhoods, getting to homelessness: a three-quarters cut alone. In the long run, vibrant know residents, and working with in federal housing assistance during neighborhoods are communities' them to recognize and solve their the 1980s; the deinstitutionalization particular problems. AmeriCorps is of the mentally ill in the 1970s; and 3.2 within depressed areas, the flight of American child born in America. jobs and rise in substance abuse. AmeriCorps Members will help ENVIRONMENTAL NEEDS AmeriCorps provides compre- ensure that pregnant mothers get Americans fill 63,000 hensive assistance to homeless the prenatal care they need. garbage trucks everyday. individuals, helping address the Members will also ensure that Lined up, they would many different causes of the crisis. infants get their immunizations, stretch from San Francisco Some AmeriCorps programs will preventing the diseases that end too to Los Angeles. build or renovate low-income many lives too early. Three million children housing. Others will help provide or The third focus area for have toxic levels of lead in locate needed, comprehensive AmeriCorps within human needs their blood. services: housing search, job search, will be independent living. It is a health care, drug and alcohol abuse quintessentially American idea that treatment, and the like. citizens ought to be able to live at AMERICORPS In the area of health care, home and take care of themselves AND THE ENVIRONMENT AmeriCorps will especially focus on for as long as possible. Independent Whatever else Americans want, we expanding care to underserved living saves the government money need a safe, healthy environment in areas, those parts of America where by reducing support costs; more quality care is hardest to find. important, it secures the dignity of order to achieve it. The neighbor- hoods in which citizens live and In 1991, the federal government individuals by allowing them to lead estimated that more than 2,000 their lives as they wish. In some raise their children ought to be free geographical areas in America had cases, AmeriCorps Members will from dangerous toxins. The parks in too few health care providers, and help recipients of public assistance which our children play ought to be that year nearly 20 percent of to obtain the job training and child clean and safe. And away from our American children had no contact care they need to become self- homes, America's splendid parks, with a physician. By increasing sufficient. In other cases, forests, and wildlife need to thrive. outreach, staffing home visits, and AmeriCorps Members will help care As resources, these are important developing compre-hensive for individuals with AIDS, enabling for our economy, and as refuges community-based health care them to remain at home for as long from the hustle of daily life, they are essential for our collective well- services, AmeriCorps will help as possible. And in still other cases, ensure that more Americans get the AmeriCorps Members will help being. care they need. older Americans living at home with Unfortunately, neither our A particular focus within health routine tasks such as buying neighborhood environment nor our natural environment has flourished care will be ensuring that America's groceries, doing chores, and youngest citizens, its infants, begin administering medications. These in recent years. In our cities, toxins life with a healthy start. The efforts keep individuals out of costly like lead, nitrites, and pesticides stunning fact remains that the infant nursing care, and enable them to threaten the health of many families, and millions of children have toxic mortality rate in America is higher remain with friends and family for as levels of lead in their blood- than in 18 other industrialized long as possible. impairing mental development, nations, and a child born in Bulgaria causing behavioral disorders, and has a better chance of reaching her stunting growth. first birthday than an African- 3.3 In 1991 alone, more than 2.2 billion AmeriCorps can clean up our pounds of toxic waste were released urban neighborhoods and restore Some Discussion Questions into the atmosphere by U.S. our natural habitat. In our neighbor- -What are the greatest areas of need industries. America continues to hoods, AmeriCorps Members will in your community? Consider how generate vast amounts of garbage- use advanced technology to identify different community members would 250 million tons a year. And and remove toxins like lead and answer this question. America's unique wilderness areas radon. Elsewhere AmeriCorps will -Which of the priority needs does are slowly disappearing: today one- rely on environmental improvement your program address, and how does third of our rivers, one-half of our methods that are more traditional it address them? estuaries, and more than half of all but just as important: turning -If you had to name the most lakes are unsafe for fishing or abandoned lots into community important achievements of your swimming. gardens, for example, and AmeriCorps program, what would organizing communities to recycle they be? waste. In our natural habitats, -Can you think of good ways to AmeriCorps Members will follow in measure you program's achievements? the footsteps of the Civilian -What have you, as an individual, Conservation Corps, which planted accomplished to meet needs in millions of trees and saved billions different priority areas? of dollars for America sixty years -What are the long-term causes of ago. But AmeriCorps Members will the problems your community faces? do more than plant trees; they will Can you think of long-term solutions? restore whole ecosystems, irrigate land, and identify endangered species so they can be preserved. The first step toward a healthier environment is a citizenry that understands the problem-and the solutions. And so in addition to restoring and protecting our environment, many AmeriCorps Members will engage in environmental education, teaching a new generation of Americans how to care for their surroundings. All in all, AmeriCorps Members can make a contribution to America's environment that saves the nation money and improves our citizen's lives.. 3.4 STAYING INVOLVED While your AmeriCorps service may wish to develop their leadership end after a year or two, your service skills, increase program to your community can continue for effectiveness in addressing decades. As you keep contributing, community needs, and build your year in AmeriCorps can be connections among AmeriCorps only one moment in a lifetime of programs. Leaders will receive service. intensive training and then act as One part of the AmeriCorps ethic "front-line" Member supervisors and that you can enact throughout your team leaders. They will receive a life is taking responsibility. You can living allowance of $14,880, health take responsibility by doing your care benefits, and an education part for your family and friends, by award of $4,725. If you wish to apply making the most of yourself, and by to become an AmeriCorps Leader, remaining engaged in your please call, (202) 606-5000, ext. 192. community. And of course, there are Even if you don't join many ways you can take responsi- AmeriCorps next year, you can bility that no handbook can ever continue contributing to your describe-that only you can know, community in many other ways. through the unique experiences of You may want to contact your your own life. school, a nearby Voluntary Action One way to take responsibility is Center (toll free at 1-800-879-5400), to continue your service in the or other local organizations to find future. You may want to spend out how to stay involved. Or you can another term as an AmeriCorps pursue your own dream for trans- Member, you can earn up to two forming your community and your awards. If you want, you may be country. America's future is in your able to reapply to AmeriCorps hands. through your current program, or you can contact the Corporation for National Service at (800) 94- ACORPS, (1-800-942-2677 or TDD 1- 800-833-3722) to get information about another program in which you might serve. If you feel prepared to take on a leadership position, you may want to apply to the AmeriCorps Leaders Program. AmeriCorps Leaders are exceptional individuals who have completed a year of service and 6.1 Appendix bb THE AMERICORPS NATIONAL SERVICE NETWORK AMERICORPSVISTA NATIONAL PROGRAMS Local Initiatives Support Corporation AmeriCorps *VISTAs serve in every These programs operate in more LISC AmeriCorps state in the nation. than one state. Magic Me, Inc. Magic Me America NATIONAL CIVILIAN ACORN Housing Corporation Mid-Atlantic Network COMMUNITY CORPS A Home for All of Youth & Family Services Aberdeen, Maryland Arizona-Mexico Commission MANY-Corps Charleston, South Carolina Border Volunteer Corps National Association of Child Care Denver, Colorado Arkansas Department of Human Resource & Referral Agencies San Diego, California Services/Division of Volunteerism Action for Children Today Delta Service Corps National Center for Family Literacy Association of Farmworker The Family Literacy Corps Opportunity Programs National Community AIDS Partnership National Farmworker Training Youth & HIV/AIDS Services and Service Program Partnership Boston University National Council of the Churches of School of Public Health Christ in the U.S.A. Health and Housing Fellows Ecumenical Program For Urban Children's Health Fund Service (EPRUS) AmeriCorps Community National Endowment for the Arts Outreach Program The Writers Corps City Year, Inc. National Institute for Literacy City Year AmeriCorps Literacy AmeriCorps Environmental Careers National Multiple Sclerosis Society Organization, Inc. Bridge to Independence Technical Advisor Program for Navajo Nation Toxics Use Reduction Navajo Nation Youth (TAPTUR) Conservation Corps Environmental Protection Agency Neighborhood Relavestment Improving Disadvantaged Corporation Neighborhoods NeighborWorks Community Green Corps Corps Neighborhood Green Corps New York University Habitat for Humanity International,Inc. Project Safety Net Habitat*AmeriCorps Philadelphia Bar Foundation I Have a Dream Foundation The Philadelphia Fellowship IHAD AmeriCorps Public Allies Kansas City Consensus Next Generation of Public Bridges Across The Heartland Leaders Legal Services Corporation National Service Legal Corps 7.1 Appendix cc Public Education Fund Network U.S. Department of Transportation Project FIRST Transportation AmeriCorps Summerbridge National U.S. Department of Veterans Affairs Summerbridge AmeriCorps Collaboration to Help Homeless Teach for America Veterans The Next Stage University of Texas at Austin The ASPIRA Association, Inc. AmeriCorps for Math and ASPIRA AmeriCorps Literacy U.S. Department of Agriculture Western Rural Development Center AmeriCorps/USDA-Public Northwest Service Academy Lands & Environmental Team Woodrow Wilson National AmeriCorps/USDA-Anti-Hunger Fellowship Foundation Team National School & Community AmeriCorps/USDA Rural Corps Development Team YMCA of the USA U.S. Department of Energy YMCA Earth Service Corps Salmon Corps Youth Volunteer Corps of America U.S. Department of HHS-Health YVCA Leadership Corps Resources and Services Administration YouthBuild USA, Inc. HRSA Model Health Service YouthBuild AmeriCorps Corps U.S. Department of HHS-Administration on Children, Youth, and Families FamilyServe U.S. Department of HHS-Administration on Developmental Disabilities ADD CORPS U.S. Department of Housing and Urban Development Hope VI AmeriCorps U.S. Department of Justice- Weed and Seed Just Serve U.S. Department of Labor AmeriCorps Youth Fair Chance Project U.S. Department of the Interior Interior AmeriCorps U.S. Department of the Navy Seaborne Conservation Corps 7.2 STATE PROGRAMS ARKANSAS CALIFORNIA Little Rock Berkeley ALASKA University of Arkansas for Regents of the University of Anchorage Medical Sciences California at Berkeley Nine Star Exterprises, Inc. Learn and Serve: Berkeley AmeriCorps AmAk Literacy Project Healthy Arkansas Escondido RurAL CAP Morrilton EYE Couseling and Crisis Services RurAL CAP AmeriCorps Community Service, Inc. (CSI) Escondido Empowerment Program Arkansas Corps Juneau Community Alliance for a Fortuna Southeast Alaska Guidance Safer Tomorrow (CAST) California Conservation Corps Association (SAGA) Texarkana The Watershed Stewards Serve Alaska Youth Corps Arkansas Family Network Project School-Based Truancy Los Angeles ALABAMA Prevention Project Los Angeles Unified School District Auburn LAUSD AmeriCorps Campus Alabama Council ARIZONA Safety Aides Initiative ON Human Relations, Inc. Flagstaff Occidental College Communities in Action AZ Board of Regents for and on Building up LosAngeles/ Birmingham Behalf of NAU-ACVTE Aggregate Proposal Birmingham AIDS Outreach (BAO) Youth In Action-Learn and Oakland (BAO)/AmeriCorps Serve East Bay Conservation Corps Dothan Mesa East Bay Conservation Corps Troy State University at Dothan City of Mesa, Arizona AmeriCorps Collaborative One Problem at a Time Mesa AmeriCorps Community Spanish Speaking Unity Council Montgomery Service Partnership FCC/AmeriCorps Montgomery YMCA Phoenix Pomona Changing Lives Arizona Conservation Corps Cal Poly Pomona Foundation, Inc AMERICORPS Arizona Conservation Corps PolyCorps-An AmeriCorps Tuscaloosa Leadership Corps Proposal Project The University of Alabama Arizona Council of Centers for Richmond Students of Alabama for Children and Adolescents Bay Area Community Resources independent Living ACCCA/AmeriCorps Bay Area Youth Agency Coalition for Children's Consortium AmeriCorps AMERICAN SAMOA Services Project Pago Pago Tucson American Samoa Government Rural Health Office, American Samoa University of Arizona Conservation Corps Arizona AHEC Rural AmeriCorps Project 7.3 Sacramento COLORADO GEORGIA California Conservation Corps Denver Albany A Cadre of Corps Cole Coalition, Inc. City Of Albany, GA "Community Service Leaders" Cole: Building Community City of Albany's AmeriCorps California Conservation Corps Community College of Denver Program CCC-AmeriCorps Colorado Corps Atlanta California Conservation Corps Office of Rural Job Training Georgia Department of Community W.A.T.E.R Shed Project Colorado HIPPY AmeriCorps Affairs San Diego Sheridan School District #26 Georgia Peach Corps San Diego Consortium & Private Sheridan Family Resource Hands On Atlanta, Inc. Industry Council Center Project Hands On Atlanta Youth Safe Zones for Learning- Volunteers of America Colorado Corps Americorps Program Branch, Inc. Metro Atlanta Task Force for the San Diego State University Metro Denver Gang Homeless Foundation Prevention Program Task Force Service Corps California YMCA PRYDE Colorado Mountain College Decatur AmeriCorps Community Collaboration Georgia School-Age Care The Urban Corps of San Diego Team Association, Inc. A San Diego Safety The 3:00 Project Partnership: The Balboa Park CONNECTICUT Douglas Ranger Corps Bridgeport City of Douglas San Francisco Department of Police- Douglas/Coffee County California Court Appointed Special City of Bridgeport Service Corps Advocate Assoc. Youth In Service Ambassadors Macon California CASA Programs Volunteer Center of Greater Mid State Children's Challenge The Tides Foundation Bridgeport Projects Inc. Partners In School Innovation Bridgeport Inter Regional Georgia Challenge Corps Volunteer Center of San Francisco AmeriCorps Program Linking San Francisco New Haven GUAM Real Alternatives Program Leadership, Education and Agana San Francisco Culture of Athletics in Partnership The Honorable Joseph F. Ada, Peace Project Leadership, Education and Governor of Guam Santa Ana Athletics in Partnership Guam Community Service Civic Center Barrio Housing AmeriCorps Pinellas County Program Corporation Stuart Building Community United Way of Martin County HAWAU Santa Rosa AmeriCorps Martin County Honolulu Sonoma County People for Tavarers Hawaii Lawyers Care Economic Opportunity Lake County Board of County Student Advocacy for Victims Sonoma County People for Commissioners of Domestic Violence Economic Opportunity UNITY-AmeriCorps Lake County 7.4 DISTRICT OF COLUMBIA Miami IDAHO DC Service Corps United Way of Dade County Boise Youth in Service, Shaping the Dade County AmeriCorps Idaho Department of Parks and Future! Initiative Recreation George Washington University Pensacola Idaho AmeriCorps AmeriCorps Program Escambia-Pensacola Human Lewiston Mennonite Board of Mission DC Relations Commission Lewis-Clark State College Service Unit AmeriCorps Escambia Idaho TRIO AmeriCorp AmeriCorps Project County-The Engelwood Project Initiative DELAWARE St. Petersburg ILLINOIS Dover St. Petersburg Junior College- Belleville Dover Housing Authority Criminal Justice Institute Belleville Area College Dover Community Service Pahala Activities in Community Challenge Institute for a Sustainable Teaching and Service (ACTS) Future, Inc. Chicago FLORIDA Big Island AmeriCorps: Chicago Commons Association Brooksville Community Based Chicago Commons City of Brooksville Environmental Recovery AmeriCorps Program AmeriCorps Hernando Chicago Youth Centers Fort Lauderdale IOWA Chicago: Side By Side Broward County Sheriff's Office Ames Latino Youth, Inc. AmeriCorps Broward- Iowa State University Extension Youth for Unity Coalition for Community Iowa College & Community Mid-America Chapter, Empowerment Action Network (ICAN) American Red Cross Fort Myers Des Moines Americorps Health and Safety The Coalition for a Drug Free Lee Iowa Coalition Against Domestic Services Program County Violence Public Allies Fort Myers/Lee County Domestic Violence Project Public Allies Chicago AmeriCorps Program Marshalltown Uptown Habitat for Humanity Frostproof Mid-lowa Community Action Nobel Project National Frostproof Care Center, Inc. Incorporated Service Program AmeriCorps Frostproof Marshalltown AmeriCorps: Decatur Jacksonville Linking Home, School and City of Decatur, Illinois Neighborhood Economic Community Decatur AmeriCorps Program Development Initiative Ina AmeriCorps Jacksonville Rend Lake College Coalition Grant Proposal ChildCorps 7.5 Springfield Topeka MASSACHUSSETS Mlinois Department of Energy and Topeka Youth Project Boston Natural Resources Topeka Youth Corps City Year Boston RiverWatch Wichita City Year: A Beacon for the Nation Illinois Department of Public Aid Wichita State University Brockton Young Parent Services- Neighborhood Freedom Old Colony Y Services Corps AmeriCorps Corps CITY PRIDE, Brockton's Urban Youth Service Corps INDIANA KENTUCKY Cambridge Elkhart Frankfort Cambridge Community Services City of Elkhart Homeless and Housing Coalition of Academic for Changing Times (A.C.T.) Elkhart EnviroCorps Kentucky, Inc. Chelsea Indianapolis Getting Things Done for ROCA Inc. of North Suffolk Mental Marion County Family Advocacy Kentucky's Homeless Health Association Center, Inc. Franklin Youth STAR (Service Taking Indy Corps Simpson County Board of Action in Revere) Martin University Education Service Learning Lawrence Corps of Scholars Impacting Lawrence Youth Commission State Student Assistance Children's Education (SLICE) Lawrence Youth commission Commission of Indiana (SSACI) Louisville City CORE 21st Century Scholars The Neighborhood Place Lowell AmeriCorps Program Agencies/Communities Merging Lowell YWCA Notre Dame Effectively (ACME) Neighborhood Service Corp University of Notre Dame Morehead Lynn AmeriCorps Program Morehead State University North Shore Employment Training MSUCorps Lynn Youth Conservation KANSAS Richmond Service Corp Horton Eastern Kentucky University Pittsfield Kickapoo Nation Student Service Consortium Berkshire Training and Employment Kickapoo Youth Conservation Program Corps LOUISIANA Berkshire Conservation Team Kansas City Baton Rouge Roxbury United Way of Wyandotte County Mid City Redevelopment Alliance YouthBuild Boston, Inc. United Way Neighborhood SERVE! MID CITY YouthBuild Boston Corps of Kansas City, Kansas New Orleans Springfield Manhattan New Orleans Youth Action Corps Corporation for Public Management Kansas State University New Orleans Youth Action Linking Lifetime AmeriCorps Kansas Health and Safety Corps Worcester Extension Corps Shreveport Worcester Community Action Shreveport Green Council ShrevCORPS CITYWORKS 7.6 MAINE MICHIGAN Owatonna Portland Ann Arbor Southeastern Minnesota Initiative Portland West Neighborhood The Regents of The University of Fund Planning Council Michigan Southern Minnesota Youth Portland Youth For Public Safety The Michigan AmeriCorps Works Coalition Augusta Community Service Plan St. Paul Job Training Administrative Office East Lansing City of Saint Paul Maine College Conservation Michigan State University Future Force-St. Paul Corps Environmental Problem Neighborhood Housing Association Solving in Lansing, Michigan Multicultural Communities in MARYLAND Flint Action Annapolis United Way of Genesee and Lapeer Maryland Conservation Corps Counties (MD DNR-Public Lands & Forestry) Genesee County AmeriCorps MISSISSIPPI United Youth Corps of Program (GCAP) Jackson Maryland Grand Rapids Operation Shoestring Inc. Baltimore Grand Rapids Service Corps Metro Jackson Service Corp. Action for the Homeless, Inc. Grand Rapids Service Corps Oxford HOME CORPS North Mississippi Regional Center Rochester Governor's Office on Volunteerism Interactive Community Oakland University Volunteer Maryland! Transitions (InterACT) AmeriCorps Oakland University of Maryland at Baltimore Port Gibson Saginaw Enhancing Neighborhood Mississippi Cultural Crossroads United Way of Saginaw County Action By Local Arts Partners Saginaw AmeriCorps Empowerment (ENABLE) Southfield Bowie Big Brothers Big Sisters of MISSOURI Bowie State University Metropolitan Detroit Cape Girardeau Maryland Students Taking CircleNet Southeast Missouri State University Responsibility for Tomorrow- Ypsilanti Southeast Missouri MSTART Eastern Michigan University Partnerhsip for Community Frostburg AmeriCorps: Teams for Service Frostburg State University School Success A STAR! IN WESTERN Kansas City YouthNet of Greater Kansas City MARYLAND Appalachian Service through Action and Blue Hills Together MINNESOTA Resources Kansas City Urban Youth Minneapolis Initiative Rockville Pillsbury Neighborhood St. Louis Montgomery County Government, Services, Inc. American Youth Foundation Department of Police Community Works St. Louis Safety Service Corps Americorps Maryland- Two or More, Inc. Service Community Assisting Police Twin Cities Youth and Housing Initiative 7.7 St. Joseph Durham Charlestown Inter/Serv The Leadership Academy Student Conservation Come As You Are Project Warren Service Corps Association, Inc. St. Louis Greensboro New Hampshire Conservation American Youth Foundation The University of North Carolina AmeriCorps Program AmeriCorps Program at Greensboro Concord Grace Hill Neighborhood Services North Carolina Child Care N.H. Department of Justice Grace Hill River Trail Corps Domestic/Sexual Violence Jefferson Program MONTANA New River Area MH, dd & SA Bozeman Programs NEW JERSEY New River Senior Health Montana Conservation Corps, Inc. Newark AmeriCorps Application Corps Community Agencies Corporation Browning Raleigh Newark/Essex AmeriCorps Blackfeet Nation NC Low Income Housing Coalition Program Service for Shelter Blackfeet Health and Safety nj Chapter-National Committee for Corps North Carolina State University Prevention of Child Abuse Harlem The North Carolina Support ParentCorps Fort Belknap Community Council Our Students AmeriCorps Paterson Ft. Belknap AmeriCorps Demonstration Project New Jersey Community Project Development Corporation NEBRASKA Missoula The Community Leaders Lincoln Missoula Aging Services Program Community Action of Volunteer Montana! Trenton Nebraska, Inc. Big Brothers and Big Sisters of Statewide Youth Violence NORTH CAROLINA Mercer & Ocean Counties Prevention Chapel Hill AmeriCorps-National Service Day Care Services Association New Jersey Public Interest T.E.A.C.H. Early Childhood NEW HAMPSHIRE Research Foundation Corps Project Bedford NJ Community Water Watch The University of North Carolina at New Hampshire College and New Jersey Youth Corps Chapel Hill University Council New Jersey AmeriCorps The SCALE Community The Public Service Compact Urban Schools Service Corps Literacy Initiative Berlin New Jersey's Urban Schools Charlotte Tri-County Community Action Service Corps University of North Carolina at Program, Inc. Union City Charlotte North Country Community Union City Day Care Program, Inc. Tutorial Connection Corps Union City Day Care AmeriCorps Program 7.8 NEW MEXICO New York oHio Embudo Aspira of New York, Inc. Athens Siete del Norte Community Project Safe and Sound Ohio University Development Corporation City Volunteer Corps Inc. Appalachian Access Resolana: Learning While The City Volunteer Corps Cleveland Serving Community Leadership Case Western Reserve University Santa Fe Program AmeriCorps Program Santa Fe Community College New York State Urban Development Neighborhood Centers Association AmeriCorps Program Corporation Tutors and Mentors In- New York State Mentoring Schools NEVADA Program Columbus Fallon NYPD National Service Police Greater Columbus Arts Council St. Johns's Lutheran Church Cadet Corps Children of the Future TURNABOUT Americorps NYPD National Service Police Ohio Coalition for the Homeless Project Cadet Program AmeriCorps Houses for the Reno Phoenix House Foundation, Inc. Homeless Community Chest NYIPEA /AmeriCorps Project Ohio Department of Youth Services Pinon Service Project Rheedien Centers for Children Youth and Community in and Families Partnership Harlem Peacemakers Dayton NEW YORK Plattsburgh University of Dayton Albany Clinton County Youth Bureau Serve With Energy and Talent New York State Council on Children Clinton County AmeriCorps Newark and Families Rochester Center for Alternative Resources AmeriCorps Family Literacy/ Monroe Community College CommunityCorps Employment Readiness Rochester AmeriCorps Toledo Project Program Toledo Area Private Industry Bronx Syracuse Council Bronx Youth Conservation Corps New York State Corps AmeriCorps Serving (BYCC) Collaboration c/o Year Round Northwest Ohio SAVE A GENERATION Syracuse Brooklyn Meeting the Challenge OKLAHOMA Bedford Stuyvesant Community New York State Corps Enid Conference Inc. Collaboration c/o Year Round Rural Health Projects, Inc. SANKOFA LINKS Syracuse Oklahoma PATCH Nature and Neighborhoods: Oklahoma City NY Corps Improving the LIFE, Inc. (Love for the Environment Independent Frail Elderty) Vernon AmeriCorps/AmeriCares Oneida Indian Nation of New York AmeriCorps Youth Program 7.9 OREGON Philadelphia RHODE ISLAND Bend Philadelphia Youth Service Corps Pautucket Central Oregon Community College Safe Haven Learning Centers City of Pawtucket Foundation Pittsburg Leadership, Education and AmeriCorps Service to YouthBuild Pittsburgh, Inc. Service Enterprise (LEASE) Community Project Intergenerational Providence Eugene Conservation Corps City Year, Inc. University of Oregon Office Selinsgrove Making a Difference in Rhode of Research10 Union-Sayder Office of Human Island Communities Resource Assistance for Rural Resources The Rhode Island Children's Environments Central Susquehanna Crusade for Higher Education Salem AmeriCorps The Rhode Island Community Oregon Housing and Community Mentoring Coalition Services Department puerto RICO Oregon Energy Conservation Arecibo SOUTH CAROLINA Corps Youth Service Center, Inc. Columbia AmeriCorps Program PENNSYLVANIA Office of the Governor, Cupey Ebensburg Division on Aging Luis Munoz Marin Foundation Appalchia Intermediate Unit 8-PA AmeriCorps Project Un Pedacito de Tierra: Mountain Service Corps South Carolina Department A Horticulture Demonstration of Mental Health Pennsylvania Mountain Program for Community Service Corps South Carolina Department Service and Neighborhood Harrisburg of Mental Health: AmeriCorps Revitalization South Carolina Victim Assistance PA Association of Colleges Ponce Network and Universities Centros Sor Isolina Ferre, Inc. Pennsylvania Service Corps SCVAN-AmeriCorps Museum and Communities University of South Carolina Pennsylvania Campus Working Together Compact/PACU AmeriCorps Project Pennsylvania Service-Scholars SOUTH DAKOTA Pennsylvania Conservation Corps Dupree AmeriCorps Project General Convention of Knox Sioux YMCAs Keystone School District Keystone Caring for Community Volunteer Corps Generations with S.M.I.L.E.S. Newport Visions International Inc. Inner-City Youth Works 7.10 TENNESSEE Middle Earth Youth Options VIRGIN ISLANDS Knoxville Youth In Education for Christiansted, St. Croix Knoxville-Knox County Community Service (YES) St. Croix Foundation for Community Action Committee Texas Department of Mental Health Development, Inc. CAC/AmeriCorps Program and Mental Retardation Coalition of Virgin Islands Memphis Project Connect Non Profit Organizations Exchange Club Center for the The University of Texas at Austin Frederiksted, St. Croix Prevention of Child Abuse of The University of Texas Lutheran Social Services of Greater Memphis AmeriCorps Project the Virgin Islands Project TLC: To Love a Child College Station Project Reach Memphis City Schools Texas Agricultural Extension Service AmeriKids Project South Texas AmeriCorps UTAH Nashville Initiative Moab Nashville Healthcare Dallas Grand County Council Partnership/Middle Tennessee Dallas Youth Services Corps AmeriCorps Collaborative Community Foundation Dallas AmeriCorps Land Management Nashville Health Corps Partnership Project Salt Lake City Student Health Coalition of Center Greater Dallas Community Mathematics, Engineering, Science for Health Services of Churches Achievement (MESA) Program Student Health Coalition Making Connections for Mathematics, Engineering, on Aging Children and Youth Science Achievement El Paso (MESA)+ Program East Central El Paso Community YOUTH FORCE: The Salt Lake TEXAS Development County Service & Conservation Alamo Project VidaCom Corps Community Advocacy The University of Texas at El Paso Parkview-Edison- of South Texas, Inc. Alliance for Community AmeriCorps Team (PEAT) Youth Harvest Community Development St. George Services Program Houston Dixie College of Adult Education Arlington SERVE HOUSTON Southern Utah AmeriCorps Community Services Development SERVE HOUSTON YOUTH Education Program Center, School of Social Work, CORPS Spokane University of Texas at Arlington Killeen Educational Service District 101 AmeriCorps-University of Central Texas Armed Services Spokane Service Team Texas at Arlington YMCA Killeen Austin (KISSS) Kids in School on Austin Housing Authority Saturday and Sunday Austin Housing Authority San Antonio American Institute for Learning Children's Association for Casa Verde Builders Program Maximum Potential (CAMP) Mental Health Association in Texas CAMP AmeriCorps Respite Parenting Education Project Enablers (C.A.R.E.) 7.11 WISCONSIN WYOMING WASHINGTON Glenwood City Casper Mountlake Terrace WestCAP Volunteer Program Wyoming Congress of Parents and Neutral Zone WestCAP Volunteer Program Teachers (dba Wyoming PTA) Neutral Zone YouthCorp Peer Kenosha Volunteer Coordinating, Development and Education Kenosha Voluntary Action Center Organizing, Recruiting for Program Students and Neighborhoods Education (V-CORE) Olympia Coming Together (SANCT) Cheyenne Community Youth Services Madison Laramie County Community College AmeriCorps Youth in Service Operation Fresh Start, Inc. Project Uplift: A Model for Department of Ecology/Washington Operation Fresh Start Community Service Conservation Corps Americorps Educational Conservation Milwaukee VIRGINIA Corps Milwaukee Community Alexandria Washington State Employment Service Corps Northern Virginia Urban Security Department Citizenship Through Service: League, Inc. Washington AmeriCorps Milwaukee Community Service to Alexandria Pasco Service Corps Fairfax Pasco School District #1 Open Door Community Center, Inc. George Mason University Regional Youth Service Corps Open Door Americorp Project Leadership for Empowerment Wausau and Development: Project North Central Technical College LeaD AmeriCorps Team-Marathon Richlands County Southwest Virginia Community College SVCC AmeriCorps Tutoring WEST VIRGINIA Program Charleston Richmond Regional Family Resource Network Virginia Campus Outreach West Virginia Collaborative Opportunity League for AmeriCorps AmeriCorps Program Sutton Virginia Commonwealth University West Virginia Coalition VCU AmeriCorps Against Domestic Violence West Virginia Coalition VERMONT Against Domestic Violence Burlington VT Association for the Blind and Visually Impaired Independent Living Project Lyndonville Lyndon State College Northeast Kingdom Initiative 7.12 MAP OF THE NATIONAL SERVICE NETWORK AmeriCorps Programs (partial listing) 7.13