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

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

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

Ampact staff lead and facilitate 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 Internal Coach

Someone Else

First Name *

Last Name *

Position Title *

Email Address *

Phone Number *

In 3 sentences or less, what 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 - 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 2024-2025 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)

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 - Professional Corps

A Professional Corps member is a current employee (classroom teacher, para or aide) of the service site where they serve. Professional 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 Professional Corps members requested by your school: *

Indicate the commitment levels of Professional Corps members requested by your school. Typically the hours commitment for a Professional 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 a Professional 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, the USDA child and adult food program, or otherwise considered low-income based on criteria used by your school: *

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

Please indicate the classroom funding models utilized by your site. Please select all that apply. *

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. Our site agreement requires the signature of someone who is authorized to enter into an agreement on behalf of your site or district/agency.

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 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 2024-25 school year. Upon receipt of your tutor request, our team will work with your district leadership to finalize 2024-25 tutor awards. You will be notified via email of your school site's final tutor award.

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. While federal AmeriCorps funding covers 2/3 of the costs associated with each member, Early Learning Corps must raise additional funds to cover the remaining 1/3. This fee is necessary to cover a portion of those remaining costs.

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

Review the form before clicking the "Submit" button below to submit this application. The Principal/Director listed above will receive a copy of this application via email.

First Name *

Last Name *

Phone Number *

Email Address *

Position Title *