Member Enrollment Notification Form - Washington Service Corps

Member Enrollment Notification

Site Staff, complete and submit the form below when your member-applicant has accepted your AmeriCorps position and you have begun the process outlined in the enrollment instructions.

Before submitting this enrollment notification form, please review all of the enrollment trainings. If all steps are not completed correctly, enrollment will need to be moved to the next start date.

If you have questions about the training instructions or enrollment requirements, please contact your WSC Coordinator as soon as possible.

Next steps:

Fill in the following information and click the Submit button. This will start the enrollment process.
Refer to the enrollment instructions for further information about what comes next.

Sponsor Organization

Sub-Service Site (if different than Sponsor Organization)

Project Site Staff Name (First Last)

Project Site Staff Email Address

Sponsor Organization Staff Name (if Project Site is not part of the Sponsor Organization)

Program

WA Service Corps WA Reading Corps

Member Position Title (pull from approved position description form)

Member-Applicant Legal Name (First Last)

Name They Go By (if different)

Member-Applicant Email

Member Start Date

12/18/23 01/16/24 02/01/24 02/16/24

Did the member-applicant serve in WSC or WRC in 2022-23? (VERIFY WITH APPLICANT)

Yes No

Is the member-applicant 18 years of age or older?

Yes No

WSC/WRC Coordinator

Britt Sullateskee Dave Reid Rebecca Vigoren

eGrants Selection

WSC LARGE TEAMS ONLY: I have selected the applicant in eGrants.

Enrollment Training

I (Site / Sponsor Org staff) have reviewed WSC's enrollment instructions and required training.