Site Application

Thank you for your interest in Heading Home Corps, we are looking forward to reviewing your application for potential partnership. For questions, please contact us at sites@ampact.us.

Please visit this page to review the Heading Home Corps Guide to Partnering for more information about the program. All sites are required to review and acknowledge their review at the end of this application before submitting.

Site Name: *

AmeriCorps service typically takes place at non-profit, government, and/or educational institutions. 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

Type of Organization/Site (Check only one) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Minnesota County *

County: *

Organization Information & Community Need

Briefly describe your organization's mission and vision. *

0/300 words

Help us better understand the population and community that the AmeriCorps member(s) will be serving through your organization. Please include information such as geographic reach, participant demographics, community need, and/or specific populations served. *

0/300 words

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 and space for AmeriCorps members to conduct their service? *

Yes

No

Director Information

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Site Supervisor Information

All AmeriCorps programs require a Site Supervisor to provide onsite support and supervision for each member placed.This is typically a staff member of the service site or district/agency, and cannot be another AmeriCorps member. This position requires a time commitment of 6-9 hours (monthly) of coaching and support per member and up to 5 hours of required training. To learn more about the role of Site Supervisor, please refer to the Site Supervisor Description section in the Guide to Partnering (linked above).

If you do not know who your site's Site Supervisor is at this time, please select “designate at a later time” and a staff member will work with you to identify this person. Otherwise, select "Enter Site Supervisor Info" and please fill in the information below.

Designate a Site Supervisor: *

Enter Site Supervisor Information

Designate at a later time

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

Recruitment Contact Information

Ampact staff lead the interview and selection process for AmeriCorps members. Partner organizations play an essential and active role in member recruitment by collaborating with Ampact staff to provide referrals and recruit prospective AmeriCorps members from their community and networks.

Please identify a recruitment contact who will lead recruitment efforts at your site and serve as a point of contact for Ampact staff for recruitment-related communication and meetings.

Who will be your Recruitment Contact? *

Same as Principal/Director

Same as Site Supervisor

Someone Else

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

What characteristics are you looking for in an AmeriCorps member? If you are referring a particular candidate for the position, please list their name and contact information here. (300-word limit) * *

0/300 words

AmeriCorps Member Request

AmeriCorps members with Heading Home Corps are referred to as Housing Resource Navigators. Please consider the items below when determining your member request for the 2025-2026 program year. If you have any questions related to your member request, please contact sites@ampact.us.

Participant need and availability
Site schedule and space availability
Availability and capacity of the Site Supervisor (we estimate that Site Supervisors designate 6-9 hours of support per member per month)
For more information on considerations when making a member request, please see the Guide to Partnering, Considerations for Partnership section.

Indicate the total number of Housing Resource Navigators requested by your organization: *

Indicate the commitment levels of Housing Resource Navigators requested by your organization. We consider organizational requests as well as the availability of the candidate when placing members. *

Full-time (40 hours/week)

Part-time (25 hours/week)

There is potential to hire a limited number of AmeriCorps members to start their service term in July 2025. Due to funding restrictions, this must be an AmeriCorps member who did not serve in the 2024-2025 program year. If this becomes a possibility, would your site be interested and able to host AmeriCorps members beginning in July? *

Yes

No

Please describe the activities the requested AmeriCorps member(s) will perform with your organization. How will AmeriCorps service build the capacity of, but NOT replace or duplicate, the work of existing staff? *

0/300 words

A full caseload is defined as 25 participants who are actively receiving support from their Housing Resource Navigator. How will you ensure AmeriCorps member(s) have a full caseload at all time that supports regular one-to-one meetings with participants on a recurring basis? *

0/300 words

Sites must provide Heading Home Corps members access to a computer/device with high-speed internet beginning on their first day of service to complete training and other requirements. Will your site be able to fulfill this requirement? If no, please provide more information. *

0/300 words

Will AmeriCorps members at your organization do any driving as part of their service (i.e. between site locations, within the community)? Members are not allowed to drive participants, children, or hazardous products (chemicals, power tools, etc.). Members under the age of 18 are not allowed to drive as part of their service. *

All AmeriCorps members expected or required to drive their own cars or company-provided vehicles are required to complete a motor vehicle check for Ampact that must be approved before they can begin driving as part of their service.

Are AmeriCorps members at your organization expected to drive an organization-provided vehicle as part of their service? *

Please list any requirements your organization has for AmeriCorps members placed at your site. Please include as much detail as possible so Ampact staff can inform candidates of site-based requirements during the interview and selection process. *

0/300 words

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

0/300 words

Client Need & Demographics

Estimated number of clients served by your organization annually that would be eligible to work with a Housing Resource Navigator: *

Percentage of clients receiving services from your organization who are in each category below:

% 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.This agreement is required to be signed at the district or agency level and is also signed by Ampact. Please provide a contact for us to send the site agreement.

If your site is not part of a larger district or agency, please provide a contact who has authority to sign contracts on behalf of your site.

First Name *

Last Name *

Email Address *

Phone Number *

Position Title *

Site Fee Information

Funding decisions for Heading Home Corps for the 2025-2026 Program Year are still being finalized. As a result, there may be a site fee required for participation in the program during this period. We will continue to communicate with all current and potential site partners as decisions around site fees are finalized.

Review & Submit

I have read the Heading Home Corps Guide to Partnering and understand and agree to the expectations and responsibilities of site partnership with Ampact. *

Yes

Please provide the information of the person completing this site application below.

Review the form before clicking the "Submit" button below to submit this application. If you have questions please contact us at sites@ampact.us. The Principal/Director listed above will receive a copy of this application via email.

First Name *

Last Name *

Phone Number *

Email Address *

Position Title *