RAY AmeriCorps Partner Organization Application
Please complete this form to apply to partner with RurAL CAP and host an AmeriCorps member at your organization. Eligible organizations include: Tribal and City Governments, Non-Profits and Schools in rural Alaska. Host organizations are asked to provide local supervision, office space, and a youth meeting space, RurAL CAP bears costs related to staffing the AmeriCorps Position. Through this partnership, we can jointly expand services available to school aged (10-18) year old youth in your community.

Please see the Partner Organization Packet for more details, or contact Maddy Stokes at americorps@ruralcap.org, 907-764-4983

AmeriCorps  is committed to building a diverse and inclusive workforce. AmeriCorps maintains a zero-tolerance policy for any unlawful discrimination and harassment conduct towards any employee, intern, or contractor. As a federal agency, we take our responsibility to comply with the anti-discrimination laws and the regulations enforced by the U.S. Equal Employment Opportunity Commission seriously and commit to treating all persons with dignity and respect. Our agency prohibits any forms of discrimination and harassment based upon a person’s protected status. “Protected status” means a person’s race, color, national origin, gender, age (40 and over), religion, sexual orientation, disability (mental or physical), gender identity or expression, political affiliation, marital or parental status, pregnancy, reprisal, genetic information (including family medical history), or military service. AmeriCorps seeks to provide a work environment that is free of discrimination and harassment, and to provide all employees the freedom to compete on a fair and level playing field.
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Email *
Members at Orientation Training 2016
Name of Organization or Tribe
Mailing Address *
City *
Zip Code *
Site Supervisor Name and Job Title (Local Staff Member who will Supervise the AmeriCorps Member) *
Contact Phone Number for Site Supervisor *
Contact Email Address for Site Supervisor *
Alternate Site Supervisor Name and Job Title (Secondary Staff Member to Help with Supervision of AmeriCorps Member) *
Alternate Site Supervisor Email *
Approximately how many hours per week will you be able to supervise the AmeriCorps Member and assist with design and implementation of youth activities. *
Are you available to host supervision meetings with the AmeriCorps Member at least once per week? *
Are you available to complete site supervisor training modules virtually in August? *
Are you available to promptly review, sign and approve the AmeriCorps member's timesheet and reports, as well as conduct periodic performance evaluations? *
Describe the workspace available for the AmeriCorps Member, will they have access to a computer, internet, phone and a printer? *
Describe the space available to host youth gatherings, who owns it? How often is it available?
What is available for the AmeriCorps Member on a regular basis?
Column 1
Computer
Internet
Copier
Desk
Chair
Phone
If applicable, please identify below the applicant recommended by the host organization to be the AmeriCorps member. You are welcome to add comments or contact information. If they have not already completed an application please encourage them to do so. This can also be discussed during the interview with the program coordinator if your organization does not want to comment at this time.
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