Site Application

Please refer to the Guide to Partnering for more information about the program.

School Name: *

School Type: *

Restrictions or additional policies may apply for AmeriCorps service at sites that are faith-based/religious or for-profit entities. Please indicate whether the criteria below apply to your site.

Faith-based/religious

For-profit

Street Address *

Address Line 2

City *

State *

Zip Code *

California County *

Florida County *

Minnesota County *

New York County *

California District Name *

Florida District Name *

Minnesota School District Name *

District Name: *

Principal/Director Information

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Internal Coach Information

All AmeriCorps programs require a Site Supervisor (called an “Internal Coach” for Early Learning Corps). This is typically a staff member of the service site or district/agency, and cannot be another AmeriCorps member. If you do not know who that is at this moment, please select “designate at a later time” and a staff member will work with you to identify this person. Otherwise, select "Enter Internal Coach Info" and please fill in the information below.

Designate an Internal Coach: *

Enter Internal Coach Information

Designate at a later time

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Recruitment Contact Information

Please identify a recruitment contact who will lead recruitment efforts at your site and serve as a point of contact for Ampact staff. Partner sites are most successful in placing high-quality AmeriCorps members when they work alongside our staff to recruit from their community and networks.

Who will be your Recruitment Contact? *

Same as Principal/Director

Same as Internal Coach

Someone else

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Interview Information

Ampact staff lead and facilitate the interview and selection process for AmeriCorps members. Sites may choose to have a contact from the site participate in pre-scheduled interviews if their availability allows. If you would like a contact from your site to be invited to participate in interviews alongside Ampact staff, please check the box below:

Yes, my site would like to receive an invitation to participate in AmeriCorps member interviews alongside Ampact staff.

Who will be your Interview Contact? *

Same as Principal/Director

Same as Internal Coach

Same as Recruitment Contact

Someone else

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

AmeriCorps Member Request - Early Learning Tutor

AmeriCorps members with Early Learning Corps are referred to as Early Learning Tutors. Please consider the items below when determining your member request for the 23-24 school year. If you have any questions related to your member request, please contact sites@ampact.us.

Student need and availability
School schedule and space availability
Availability and capacity of the Internal Coach (we estimate that Internal Coaches designate 6-9 hours per classroom per month)

Early Learning Tutors are individuals recruited from your community and placed in a classroom to help children ages 3-5 to talk, read, write, sing and play in order to develop early literacy and numeracy skills and get ready for Kindergarten.

Indicate the total number of Early Learning Tutors requested by your school: *

Indicate the commitment levels of Early Learning Tutors requested by your school. Please select all hours commitment levels that work for your school. We consider school requests as well as the availability of candidates when placing members. * 🛈

Full-time (35 hours/week - 5 days per week, 7 hours per day)

Part-time (25-28 hours/week - 5 days per week, 5 hours per day)

Reduced part-time (18-20 hours/week - consistent schedule of 3-5 days per week, 3.5-6 hours per day)

Indicate the commitment levels of Early Learning Tutors requested by your school. Please select all hours commitment levels that work for your school. We consider school requests as well as the availability of candidates when placing members. * 🛈

Full-time (35 hours/week - 5 days per week, 7 hours per day)

Part-time (25-28 hours/week - 5 days per week, 5 hours per day)

Reduced part-time (18-20 hours/week - consistent schedule of 3-5 days per week, 3.5-6 hours per day)

10 hours/week (Consistent schedule of 3-5 days per week, 2-3.25 hours per day)

Does your site anticipate that AmeriCorps members will be delivering service activities virtually (e.g., virtual tutoring, office work or projects that will be done remotely)? *

Yes

No

Beginning in the 2023-24 program year, updated AmeriCorps policy requires that AmeriCorps members serve at a physical site location, even if service activities are delivered virtually. Does your site have a physical location for AmeriCorps members to conduct their service? *

Yes

No

Please proceed with submitting your Early Learning Corps site application. Our team will work with you to understand the unique circumstances of your site and determine your eligibility for AmeriCorps member service.

Sites must provide Early Learning Corps members with access to a computer/device with high-speed internet beginning on their first day of service to complete training and other program requirements. How will your site ensure this expectation is met? Do you have any concerns about your site's ability to meet this expectation due to the availability of devices, site/district/agency policy, or other factors? (300 word limit) *

0/300 words

Please list any other considerations or preferences related to your member request.

AmeriCorps Member Request - Educator Corps

An Educator Corps member is a current employee (classroom teacher, para or aide) of the service site where they serve. Educator Corps members are trained in research-based early literacy and numeracy strategies and collaborate with other teaching staff to enhance daily literacy and math opportunities and conduct literacy and math assessments to increase the number of children on target with early learning predictors.

Indicate the total number of Educator Corps members requested by your school: *

Indicate the commitment levels of Educator Corps members requested by your school. Typically the hours commitment for an Educator Corps member should align with the standard working hours of their staff position. *

Full-time (35 hours/week - 5 days per week, 7 hours per day)

Part-time (25 hours/week - 5 days per week, 5 hours per day)

Reduced part-time (18 hours/week - consistent schedule of 3-5 days per week, 3.5-6 hours per day)

Indicate the commitment levels of Educator Corps members requested by your school. Typically the hours commitment for an Educator Corps member should align with the standard working hours of their staff position. *

Full-time (35 hours/week - 5 days per week, 7 hours per day)

Part-time (25 hours/week - 5 days per week, 5 hours per day)

Reduced part-time (18 hours/week - consistent schedule of 3-5 days per week, 3.5-6 hours per day)

Optional - Please list the names of the staff members interested in an Educator Corps position.

Student Need & Demographics

Early Learning Tutors must be placed in a classroom that serves 3- to 5-year-old children, with priority on classrooms with 4- and 5-year old children.

Number of classrooms serving 3-5 year olds: *

Average number of students per classroom serving 3-5 year olds: *

Estimated percentage of students eligible for free and reduced-price lunch or USDA child and adult food program: *

Estimated percentage of students eligible for child care assistance programs or early learning scholarships: *

Estimated percentage of students at your site who identify as:

% American Indian or Alaska Native *

% Asian *

% Black or African American *

% Hispanic or Latino *

% Native Hawaiian or other Pacific Islander *

% Two or More Races *

% White *

Site Agreement Information

All Ampact site partners must sign a site agreement outlining the partnership between the site and the program.

Click here if the contact to sign the Early Learning Corps Site Agreement is someone other than the Principal/Director.

First Name *

Last Name *

Email Address *

Phone Number *

Position Title *

Site Fee Information

For California school partners: This site application is not a binding contract, but rather an interest form. While federal AmeriCorps funding will cover much of the costs associated with each member, school districts are asked to pay a per member fee to serve as a cash match to the federal dollars. Scholarships may be available for school districts who cannot afford the member fee(s). Administration in each partner district is aware of the site fees for the 2023-24 school year. Upon receipt of your tutor request, our team will work with your district leadership to finalize 2023-24 tutor awards.

Please note: the question below is for informational purposes only and will not be used in the decision-making process to award sites.

There is a site fee of up to $10,000 per member for Early Learning Corps in New York. If a site fee is a barrier to participation in the program, please email sites@ampact.us to inquire about potential options for assistance.

*

My school will be able to pay the site fee

My school may not be able to pay the site fee and would like more information about potential scholarship opportunities

Click here if the billing contact for the Early Learning Corps site fee is someone other than the Principal/Director.

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Review & Submit

Please review the form before clicking the "Submit" button below to submit your application.

You will receive a copy of your application via email.