Complete
and submit for 2008/2009 program year
Organization
Address
City, zip
Member's
Supervisor
Authorizing Official:
Phone
Phone
Fax
Fax
E-Mail
E-Mail
Option
Start
date
End
date
#
of stipends ( the same total over varying periods)
Term
duration
Regular Year
August 25, 2008
August 21, 2009
26
12 months
School Year
August 25, 2008
June 12, 2009
21
10 months
Alternate Year
November 3, 2008
August 21,2009
21
9 1/2 months
Number and type
of position(s) requesting
full time
0
1
2
3
4
5
6
service year option
regular year
school year
alternate year
part time
0
1
2
3
4
5
6
service year option
regular year
school year
alternate year
other
( if requesting other combinations from the choices available,
please describe)
Please provide an explanation of the community
need that your organization addresses including statistical
information regarding the need for your services. Use attachment
if necessary. (Maximum 2,000 words )
How will having an AmeriCorps position(s)
enhance the mission of your organization?
Position Description: (list specific
duties in bullet form) :
NOTE:
*Members do not serve the staff of organizations; they
serve the community through direct, visible, and measurable
service to individuals, a familyor group.
*Service
positions should not include clerical work, menial tasks,
staff training, administration, research, or other incidental
support activities, u nless such activities clearly support
the direct service objectives, and the time spent on these
activities are not the member’s primary responsibility.
*Members
may not raise funds for the cash-match or for general
operating expenses. Fundraising is limited to 10% of a
member’s time.
*Members
may not write grants to obtain AmeriCorps or CNCS funding,
or for funding provided by any other federal agencies.
*Service
should result in a specific, identifiable community service
or improvement that otherwise would not have been made
with existing funds.
The PMSC has
developed four primary objectives. Please check the objective
(s) that would best correlate with your proposed position. Check
as many as apply.
PMSC Education team members
will tutor or mentor students identified as at-risk or in
need of learning support; organize or conduct service learning
and community education activities; or assist in providing
in school or after school educational enrichment activities
for Head Start, K-12, college students, or adults.
PMSC Environmental team members will collect
water samples or other environmental data, assist with GIS
mapping, develop or maintain public lands, or provide environmental
educational programming within the nine county region.
PMSC Human Needs team members will meet
a variety of identified community needs by such support
activities as case management, health or family counseling,
substance abuse prevention, or life skills development
PMSC members will recruit and train community
volunteers.
Please list additional locations/addresses where
your member(s) will serve
Preferred qualifications
for this positions
I verify with
a check that this position will not:
Displace an employee, duplicate a paid staff position, or replace
a vacant staff position
Proselytize; Include activities of a partisan political nature;
Provide assistance to a business organized for profit; Fund raise
for general operating expenses as a primary activity; Include
grant writing or preparation for general operating expenses
I verify with
a check that our organization
Can supply the required cash-match from non-federal sources
and can supply on-site supervision of member
Tutoring Positions
Only
In addition to your position description please answer the
following; briefly describe how your tutors will be trained
for the position:
NOTE:
For all tutoring positions, the candidate must posses a
minimum of a two-year college degree or your organization
is responsible for administering a proficiency test in the
appropriate subject(s) to your candidate. Proof of college
diploma or results of the testing must be on file with the
PMSC within 30 days of the start of the program year.
Please list the
specific curriculum that will be used to tutor your students:
Curricula must fall under the guidelines of public law 107-110
or The National Reading Panel
( note: you will be able
to print a copy of your submission after you click the submit
button)