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…………………………………………………….. WSU VISTA Project Site Application Hosted by: Application Submission: Applications are accepted year around. AmeriCorps VISTA members typically begin service approximately 6 months after an application is submitted. Developed by Clara Barton VISTA Corps (Portland, OR). Please retain original attribution when adapting or using this resource. Rev. September 2010.

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Page 1: Sample Site Application - Community Engagement Institutecommunityengagementinstitute.org/Documents/VISTA2018... · Web viewThrough activities such as fundraising, developing community

……………………………………………………..

WSU VISTA Project Site Application

Hosted by:

Application Submission:Applications are accepted year around. AmeriCorps VISTA members typically

begin service approximately 6 months after an application is submitted.

Angela Gaughan, VISTA Project [email protected] cell

Developed by Clara Barton VISTA Corps (Portland, OR). Please retain original attribution when adapting or using this resource. Rev. September 2010.

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Timeline

Application materials submitted by site Award notification to applicants (by email) Mandatory VISTA site supervisor training (one day) VISTA member recruited Pre-Service Orientation for VISTA member VISTA member starts at placement sites

Program OverviewWichita State University’s Community Engagement Institute has a mission to partner with communities and organizations to strengthen Kansas through education, leadership development, facilitation and research. The WSU VISTA Fellows project will seek to address economic opportunity, education and healthy futures for economically disadvantaged people and communities by placing VISTA members with organizations and agencies whose missions and activities directly impact these human needs. VISTAs will be dedicated to activities that help strengthen and build the organizations’ capacities to deliver programs addressing contributing factors of poverty.

What is AmeriCorps VISTA? The AmeriCorps VISTA program has been addressing the needs of impoverished communities since 1965. VISTA members work with local and national nonprofit groups, faith-based organizations and public agencies. Their goal is to develop permanent infrastructure that strengthens programs focused on helping communities out of poverty.

Mission: To start, strengthen, or expand programs, systems or services that help people move out of poverty.

Core Principles: Anti-Poverty Focus – Any non-profit organization, educational institution, tribal or public

agency with a program that is poverty-related in scope can apply to sponsor a VISTA project. The project’s goal addresses helping individuals and communities out of poverty, not simply making it more sustainable.

Capacity Building – VISTA members do not provide direct service to low-income individuals, but rather work to increase the capacity of organizations. Through activities such as fundraising, developing community volunteer systems, outreach and grant writing, VISTA members mobilize local resources to achieve lasting solutions.

Sustainable Solutions – VISTA members are a short-term resource to help sponsoring organizations address a new or existing program area related to their mission. VISTAs help build the capacity of an organization with the intention of creating a sustainable program over time, allowing the host site to no longer depend upon the use of VISTA resources.

Community Empowerment – VISTA partners ensure that the project engages residents of the low-income community in planning, developing and implementing the project. The project must be responsive and relevant to the lives of the community residents and should tap into inherent community strengths.

Who are AmeriCorps VISTA members? VISTA members who serve with us come from the community, state and country. They serve full time (40 hours per week) for one full year (365 days). Most are college graduates and some have advanced degrees. Experience levels range from a recent college grad to a retired professional. VISTA members are different ages, genders, races, cultures and come from different socioeconomic backgrounds, yet all of them share the dedication and commitment of giving something back to the community and the mission of “getting things done.”

VISTA members are expected to live in the communities they serve and they receive a monthly living allowance of $990, which is 105% of the Federal Poverty Level. In addition to the living allowance, they may also receive healthcare benefits, loan forbearance and childcare (if eligible). Upon successful completion of

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their year of service, VISTA members can choose to receive either an Education Award of $5,750 or a cash stipend of $1,500. All VISTAs also receive ongoing training and development.

What Can VISTA Members Do?In determining whether VISTA is the right match for a given organization’s needs, think about the kinds of activities members will be expected to perform. The role of the VISTA member is primarily to build the capacity and sustainability of the project and community, with a focus on reducing and alleviating poverty. INDIRECT service is the focus of VISTA. Below are some examples of the types of service performed by a VISTA.

Indirect Service Capacity Building Sustainable EndeavorsRecruit volunteers Develop forms, volunteer

assignments, trainingsDevelopment of Volunteer Policy and Procedure Handbook

Train direct service providers

Write training curriculum or manual; train trainers

Develop training manual and train the trainer curriculum

Coordinate projects Develop procedures and systems Develop volunteer management system and procedural guide

Public speaking Develop speakers’ bureau Develop community partnerships

Write press releases Develop press kits, media database

Secure media partners

Organize fundraising events Grant writing; develop database Secure project staffing and diverse revenue streams

Organize task forces/coalitions

Develop leadership structure of task force/coalition

Create infrastructure

Conduct outreach Design brochures, posters Create mechanism for project evaluation

Note: Adapted from Step-By-Step: A Guide to Partnering with AmeriCorps*VISTA

Is VISTA Right for My Organization?The following is a list of questions to think about before applying for an AmeriCorps*VISTA member:

Is there a poverty related project my organization would like to start or expand? Are the project’s goals to help move people and/or communities out of poverty?

Does my organization have the infrastructure in place to support a VISTA member? (Think staff time for supervision, a work space with computer and phone access etc)

Has my organization utilized VISTA or AmeriCorps resources in the past? If so, how will this be different?

Is anyone at the organization (staff or volunteer) currently involved in a project like the one I would like the VISTA member to work on? Please note that VISTA members cannot replace staff positions.

How will we sustain the project after the VISTA member completes the year of service and how will we measure the project’s impact?

Placement Site Eligibility Requirements To host a VISTA an organization must be one of the following:

Faith-based or nonprofit organizations with a 501(c) designation School districts or educational service districts Government agencies: city, county, regional, state, tribal or federal

VISTA Program Requirements Members must be placed in a capacity-building role for the entire term of service.

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Activities cannot duplicate routine functions of or displace paid employees. The project may not include direct service or administrative duties that support general organizational

goals such as clerical or janitorial responsibilities, lunch or recess duty or data entry. Placement sites must have a Drug Free Work Place Policy and a Non-Discrimination Policy. Placement sites must be able to effectively recruit, train, support and supervise the member(s). Placement sites are eligible to have a VISTA member serve with their organization, in the same

position, for up to three years. Each year is meant to build on the previous year: Year 1 – member establishes and creates a program or project, Year 2 – member continues to create program and begins to create structure for program to be sustainable, Year 3 – member should focus mostly on making the program sustainable.

Share of CostsOur program requires a cost from each sponsoring organization for each VISTA member awarded. The cost is used to pay for sponsored trainings, VISTA support staff and administering the program. The costs are listed below:First year VISTA host site – $6,000Second year VISTA host site – $5,000Third year VISTA host site – $4,000

Additional Costs to Consider Each project has different budgetary needs. Some projects will have more travel required where another will need more funding for training. Planning a budget before applying to be a VISTA host site can eliminate potential problems in the future. Please plan for the following types of expenses:

Recruitment costs (advertising, printing, interview time, etc) VISTA on-site supervisor time Project related training for VISTA Mileage reimbursement for project related travel Office supplies and equipment (computer, paper, software, desk, camera etc.) Postage Telephone and long distance Additional project related expenses (web-hosting, publishing materials, professional dues, etc.)

Placement Site Responsibilities The following requirements enable both VISTA’s and sponsors to maximize the benefits of a one-year placement.

Supervision and Mentoring Provide the VISTA with an immediate and available supervisor for the full-term of service that is

able to meet with the VISTA for a minimum of one hour each week in addition to providing an on-site orientation and training for the member upon arrival at the site.

Assist the VISTA in identifying opportunities to meet professional development goals through their service and support the VISTA’s participation in our program’s meetings and trainings.

If your organization is accepted, the designated Site Supervisors will be required to attend ONE AmeriCorps VISTA Supervisor training (one day).

Project Support Provide adequate office space, office equipment, tools and materials for the VISTA to perform

service. Provide a comprehensive on-site orientation and dedicate resources for training and

development for each VISTA. Provide transportation or mileage reimbursement for VISTA members during established

service hours in accordance with the policies of the placement site. Support VISTA participation in trainings led by our program, national service day activities, and

other required activities.

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Awareness Support efforts to increase awareness of the service our program’s VISTA members provide the

community (via media, social media, etc.).

Risk Management Establish safety guidelines and rules that ensure the well-being of the VISTA members and

participants in the sponsoring organization's program.

Reporting Complete progress reporting weekly during the service year. Participate in site visits with staff from our program.

SUBMISSION GUIDELINES

WSU CEI is open to accepting applications year-around. Spring is a popular time to recruit applications who begin during the summer season. Applications submitted by January 1 fits well with spring recruiting.

Submit applications to [email protected]. The entire application can be .pdf format, with the following list of sections submitted in Word.

Word format of the following documents is requested: proposal narrative, VISTA Assignment Description (VAD) and service opportunity.

Applications emailed or faxed by the deadline will be accepted. If faxed, listed documents still need to be provided in Word.

Keep these pages for your records.The application you submit should start with the following page.

Site Application for _________________________ Date: ____________ (Name of organization)

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This should be the FIRST page of your application. Please include this page as the cover of your proposal and initial below.

PROPOSAL CHECKLIST

Read and understand the VISTA Prohibited Activities (See Appendix A)

Initials ______

Complete the Face Sheet (including appropriate signatures)

Initials ______

Complete the narratives for each position requested

Initials ______

Read and follow the VISTA Assignment Description (VAD) Quick Checklist (See Appendix C)

Initials ______

Complete a VISTA Assignment Description for each position requested (See Appendix D)

Initials_______

Complete a VISTA Service Opportunity (aka: position description) for each position requested (See Appendix E)

Initials________

Submit the following documents (electronic copies are acceptable):

1. ___ Tax-Exempt Status Form and number ___________________

2. ___ Documentation from Board of Directors (or other Oversight Body) of approval for VISTA (could be Board minutes, letter of commitment, etc.)

3. ___ Organization’s grievance procedure/policy (sample provided See Appendix B)

4. ___ Copy of VISTA Site Supervisor’s personal job description

5. ___ Organizational Chart

6. ___ ADA Compliance Checklist/documentation (see http://www.ada.gov/racheck.pdf)

Initials ______

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FACE SHEET Legal applicant information

Legal applicant/sponsoring agency: (Organization responsible for the contract e.g. Pine School District)

Street Address: _________________________________________

City, State and Zip Code: _____________________________ + 4 digits: (required) ______________

Main project contact: ____ Title: _______

Phone: Fax: ______

E-mail: ________________

Website: _______________________________________________________

Alternative address (mailing or physical address if different than above): ____________

Phone: E-mail:

Contact information for on-site supervisor: (if different from legal applicant):

Site organization: (Organization where the member will serve, e.g., Harriet Elementary)

Address:

On-site supervisor: Title:

Phone: Fax:

E-mail: Web site:

Contact information for individual responsible for signing legal contracts:

Name: ________________________________________ Title: _________________________

Address:

Phone: E-mail:

Contact information for individual who should receive billing: (invoices are emailed monthly or the amount can be paid in-full within 45-days after the VISTA begins service)

Name: ________________________________________ Title: _________________________

Address:

Phone: E-mail:

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1. How many members are you applying for?

One Two Other_______

In regard to this particular position: if your organization is applying for more than one member and the positions vary (even slightly), submit separate cover sheets and proposals for each position.

2. How many years are you applying to have VISTA’s work on your project?

One Two Three

You can decide not to renew, but the full benefit of the project is allowed for three years with a brief renewal process due annually, approximately 6 months into the service year.

3. Transportation requirements for member service activities:

An organizational vehicle is available for service business. Member must be covered by organization’s vehicle insurance policy.

Personal vehicle is necessary and mileage reimbursement (at organization’s employee reimbursement rate) is approved. Member may not transport clients or youth in their personal vehicles.

4. The project site is wheelchair accessible? Yes No(Provide an ADA Compliance checklist/documentation of compliance)

5. In what county/counties will the service be conducted?

6. If applicable, have you discussed the placement with your union representative?

Yes No N/A

7. Administration Fee Description: (Our program requires an administration fee, select your project year.)

$6,000 First year as a VISTA host site

$5,000 Second year as a VISTA host site

$4,000 Third year as a VISTA host site

a. Is your cash: (check one) Pending Secured Not available

b. If pending, when will you receive confirmation of funds? _______________

c. Source of funding: ___________________________________________

8. Invoice Options, select one:

Payment in full within 30 daysof the date the VISTA starts

Quarterly billing (4 quarterly payments sent approximately the first of January, April, July & October: will begin after service starts)

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Acknowledgements

We understand that the WSU VISTA Fellows Project designates certain service days and hours to program-sponsored member development and service activities. We support the WSU VISTA Fellows Project in its effort to provide members with development and leadership opportunities and will accommodate occasional absences of the member (with advance notice, when possible) for this purpose.

_______ Initial

Certifications

Drug Free Workplace

I certify that has an active Drug Free Work Place Policy.(Legal Applicant)

Non-Discrimination Policy

I certify that has an active Non-Discrimination Policy.(Legal Applicant)

Assurances

As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that the applicant (Please place a checkmark in the box to indicate you have read the assurance): Has the legal authority to apply for federal assistance, and the institutional, managerial and financial

capability (including funds sufficient to pay the local cost share) required to ensure proper planning, management and completion of the project described in this application?

Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program.

Will keep such records and provide such information to WSU Community Engagement Institute or to the Federal government with respect to the program as may be required for fiscal audits and program evaluation, including documentation of in-kind match.

Will comply with the non-displacement rules found in section 1777(b) of the National and Community Service Act of 1990 as amended (42 U.S.C. 12501 et seq.). Specifically, an employer shall not displace an employee or position, including partial displacement such as reduction in hours, wages, or employment benefits, as a result of the employer using an AmeriCorps*VISTA member; a service opportunity shall not be created that will infringe on the promotional opportunity of an employed individual; an AmeriCorps participant shall not perform any services or duties or engage in activities that (1) would otherwise be performed by an employee as part of the employee’s assigned duties, (2) will supplant the hiring of employed workers, (3) are services or duties with respect to which an individual has recall rights pursuant to a collective bargaining agreement or applicable personnel procedures, or (4) have been performed by or were assigned to any presently employed worker, an employee who recently resigned or was discharged, an employee who is on leave, an employee who is on strike or is being locked out, or an employee who is subject to a reduction in force or has recall rights subject to a collective bargaining agreement or applicable personnel procedure.

Will comply with the ineligible service provisions found in section 132 of the Act. Specifically, a program may not use AmeriCorps*VISTA members to perform service that provides direct benefit to any (1) business organized for profit; (2) labor union; (3) partisan political organization; (4) organization engaged in religious activities (unless such service does not involve the use of assistance or participants to give religious instruction, conduct worship services, provide instruction as part of a program that includes mandatory religious education or worship, construct or operate facilities devoted to religious instruction or worship, or engage in any form of proselytizing; or (5) nonprofit organization that fails to comply with the restrictions contained in section 501 (c)(3) of the Internal Revenue code (26 U.S.C. 501 (c)(3).

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However, the provisions contained in section 132 of the Act shall not be construed to prevent participants from engaging in advocacy activities undertaken at their own initiative.

Will comply with all Prohibited Activities related to AmeriCorps VISTA member service. If requested, please supply letters of support for your organization.

By signing below, you certify that you agree to perform all actions and support all intentions in the Acknowledgement, Certification and Assurances sections above.

Organization Name:

______________________________________________________________

Name & Title of Authorized Representative:

_____________________________________________________________________

Signature and Date:

______________________________________________________________

APPLICATION SELECTION CRITERIA VISTA placement sites will be determined through a competitive application process. Selections will be based on the sum of points given for each section of the application. The total point value for each question is listed in bold at the end of the question.

APPLICATION INSTRUCTIONS ____________All applications must be typed in 12 point font. The narrative section should not exceed 5 pages.

APPLICATION NARRATIVES (not to exceed 5 pages)________________________________

COMMUNITY NEED – 30 Points Possible Indicate the number of VISTA members(s) requested. State the specific poverty-related need(s) the

VISTA project will address. Use current and local statistical data, citing the source whenever possible, to substantiate the problem. 10 points

Provide a detailed description of the project for which you are requesting a VISTA. 20 pointsThis section should include:

o Mention of the population to be servedo Issue areas and which CNCS Priority Area(s) your project will address:

Education (School Readiness, K-12 Success, Post-Secondary Success) Economic Opportunity (Financial Literacy, Housing, Employment) Healthy Futures (Access to Food Resources, Access to Health Care or Preventative

Care)o History of your organization’s activities in these issue areaso Type of service activities you expect the VISTA member to accomplish (should address Data

Systems; Volunteer Recruitment, Management, Training; Fund Development; and/or Community Collaboration/Partnership Development)

PROGRAM SUPPORT – 30 Points Possible Placement sites will be responsible for recruiting a VISTA to serve at their organization with the

assistance of our program staff. Describe in specific terms how your organization will recruit qualified applicants to serve as VISTA members on this project. What challenges do you anticipate in recruiting qualified applicants? 10 points

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Describe plans for daily supervision of the VISTA member(s). State if supervision will be a full-time or part-time responsibility. If your organization is accepted to our program, supervisors are required to attend a one day VISTA Supervisor training. Please state the intention to attend this training. 10 points

What in-kind resources will you provide to ensure the success of the proposed project? 5 points Describe the service-related transportation needs of the VISTA members and your plan for meeting

those needs. Describe the accessibility of services provided to members of the community with disabilities. Is your organization able to accommodate AmeriCorps*VISTA members with disabilities? 5 points

PROGRAM SUSTAINABILITY – 10 Points Possible State how many years you anticipate needing VISTA resources. Provide a brief outline of your future

project plans. 5 Points One of the primary purposes of VISTA is to ensure sustainable solutions to problems facing low-income

communities. Address how you will ensure the proposed project and outcomes continue without VISTA resources. 5 Points

VISTA ASSIGNMENT DESCRIPTION (VAD) and SERVICE OPPORTUNITY – 30 Points Possible Complete a VAD for each VISTA position requested (See Appendix C and D). 20 Points Provide a Service Opportunity (aka: position description) for each VISTA position requested (see

Appendix E). Each question needs to be answered because they must be entered into the computer program. 10 Points

_______________________________________________________________________________________

*****RETURNING PROJECTS ONLY

Current AmeriCorps VISTA sponsoring organizations seeking project renewal are required to complete this section in addition to any information in the previous sections that has changed or needs updating.

State if your organization has had AmeriCorps VISTA members before, if so how many and when?

Provide the current VISTA’s outcomes and accomplishments to date.

Briefly state your project’s objectives for the upcoming year and a clear project description. Note what year this is in the project, first, second or third and how many years there will be in total.

Provide an updated VAD and Service Opportunity.

Reminder: Recruitment must be finalized 45 days before the intended onboarding date of the new VISTA

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APPENDIX AAmeriCorps VISTA Prohibited Activities

All limitations on member activities and duties can be found and must be reviewed by site applicant at the following web link:

http://www.vistacampus.org/mod/book/view.php?id=2093&chapterid=2172

Examples of prohibited activities:

The Corporation acknowledges that religious activities play a positive role in healthy communities, that religion is a defining characteristic of many community organizations (faith-based and secular), and that religious belief and action are central to many AmeriCorps VISTA members' lives. It is important, however, that AmeriCorps VISTA programs and their members do not endorse or promote, or appear to endorse or promote, religion or a specific religious belief. Consequently, we impose a number of limitations on activities that AmeriCorps VISTA programs can support and in which members can engage while serving, or when otherwise, representing AmeriCorps VISTA. AmeriCorps VISTA members are free to pursue these activities on their own initiative on non- AmeriCorps time, and using non-AmeriCorps funds. The AmeriCorps VISTA logo should not be worn while doing so.

AmeriCorps VISTA members, as well as AmeriCorps VISTA programs and projects, are subject to certain restrictions related to their engagement in political activities. Such political activities are classified as either: (1) engaging in electoral activities; (2) engaging in lobbying; or (3) participating in demonstrations.

At no time should a member be hired to perform any work for the sponsoring organization even if it is unrelated to the member's service. Should a sponsor site offer a paid position to a member during his or her service year, the sponsor will be responsible for the full cost share per the contract. Our program will not be responsible for a replacement VISTA member at that site. In addition, VISTA members should not perform services or duties that have been performed by or were assigned to any:

o Presently employed workero Employee who recently resigned or was dischargedo Employee who is subject to a reduction in force or who has recall rights pursuant to a collective

bargaining agreement or applicable personnel procedureso Employee who is on leave (terminal, temporary, vacation, emergency or sick)o Employee who is on strike or is being locked out.

Other activities as the Corporation and/or our program determine will be prohibited, upon notice.

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APPENDIX BExample of a grievance procedure

If your procedure is brief, that is acceptable as well.

1. Purpose of the procedure/Introduction[Name of organization]’s aim is to ensure that employees with a grievance relating to their employment can use a procedure which can help to resolve grievances as quickly and as fairly as possible.

2. Informal discussionsIf an employee has a grievance about their employment they should discuss it informally with an immediate supervisor. We hope that the majority of concerns will be resolved this way.

3. Stage 1 – statement of grievanceIf the employee feels that the matter has not been resolved through informal discussions, they should put your grievance in writing to an immediate supervisor.

4. Stage 2 – the grievance meetingWithin [number of days] working days the supervisor will respond, in writing, to the statement, inviting the employee to attend a meeting where the alleged grievance can be discussed. This meeting should be scheduled to take place as soon as possible and normally 5 working days’ notice of this meeting will be provided to the employee and they will be informed of their right to be accompanied.

Employees must take all reasonable steps to attend the meeting, but if for any unforeseen reason the employee, or the employer, can’t attend, the meeting must be rearranged.

Should an employee’s companion be unable to attend then the employee must make contact within [number of days] days of the date of the letter to arrange an alternative date that falls within [number of days] days of the original date provided. These time limits may be extended by mutual agreement.

After the meeting the supervisor hearing the grievance must write to the employee informing them of any decision or action and offering them the right of appeal. This letter should be sent within [number of days] working days of the grievance meeting and should include the details on how to appeal.

5. Step 3 – appealIf the matter is not resolved to the employees’ satisfaction they must set out their grounds of appeal in writing within [number of days] working days of receipt of the decision letter.

Within [number of days] working days of receiving an appeal letter, the employee should receive a written invitation to attend an appeal meeting. The appeal meeting should be taken by a more senior manager not involved in the original meeting.

After the appeal meeting with senior manager must inform the employee in writing of their decision within [number of days] working days of the meeting. Their decision is final.

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APPENDIX CVISTA Assignment Description (VAD) QUICK CHECKLIST This information must be included.

Does the VAD TITLE: Include the word “ VISTA”

Describe the VISTA’s role (Outreach Coordinator, Volunteer Manager)

Does the VAD GOAL STATEMENT: THE BIG PICTURE

Describe what the VISTA will do using verbs (develop, implement)

Must describe who (population) will be served by VISTA efforts

Describe how poverty is addressed by VISTA efforts (must include the language “breaking the cycle

of poverty by” OR “moving people out of poverty by”)

Describe the extent to which capacity is built (must include “VISTA will build capacity by”)

Clearly align with the project outcomes in the application. Each objective must be referenced, but it can be briefly listed. (Example: The VISTA will recruit and train volunteers, write a volunteer manual,

and oversea a recruitment project).

State the specific product or service resulting from VISTA efforts (volunteer system, partnerships,

funding)

If applicable, describe how resources will be used (VISTA will write grants to support…)

Do the VAD OBJECTIVES THE MILESTONES

Include dates of service

Describe a specific milestone the VISTA will accomplish to meet the overall goal

Align with the stated goal

Statement of how the efforts of the VISTA will be sustained beyond the VISTA year and life of the

VISTA project (can include activities such as training staff; developing a manual or other data resource

of collected information, processes, and resources; or other means to making sure that transition from

VISTA to the organization occurs)

Include a minimum of 3 Objectives

Do the VAD ACTIVITIES STEP BY STEP Describe the specific tasks the VISTA will need to complete to achieve the objective.

Align with the stated objective

Describe activities that do not include staff duties and prohibited activities.

List a minimum of three Activities for each Objective

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APPENDIX D

VISTA Assignment Description (VAD)

Design the VISTA Assignment Description to cover the one year period in which the member will be serving. The description will demonstrate:

A realistic effort to help bring individuals and/or communities out of poverty Responsibilities and duties of VISTA members that are geared toward building a permanent

infrastructure within the organization. Proposed project results that are measurable and convey the actual impact the project has on the

individuals, families and communities being served.

AmeriCorps VISTA Assignment Description (VAD)

VISTA Project: Wichita State University VISTA Fellows

Position Title (include “VISTA”):

Site Name: CNCS Priority Area (1-2): (Listed on page 10)

Date:

VISTA Member Activities and Steps Checklist Performance Period*

Required

Goal of the Project (from VISTA Project Plan): (Must include the population served by VISTA and terms: “breaking the cycle of poverty” and “build capacity by…” See other requirements on the VAD Quick Checklist) 750 character limit

Start month and year and completed month and year for

each objective*

Objective 1:Activity 1: Activity 2: Activity 3: Activity 4:

Objective 2:Activity 1: Activity 2: Activity 3:

Objective 3:Activity 1: Activity 2: Activity 3:

Objective 4:Activity 1: Activity 2: Activity 3:

Objective 5:Activity 1: Activity 2: Activity 3:

*Example: July 2017 to July 2018. Or if the objectives could be divided by months like this: Obj 1: July 2017 to Dec. 2017; Obj 2: Nov. 2017 to Feb. 2018; Obj 3: Jan. 2018 to July 2018; etc.

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Appendix ESample Service Opportunity – these questions must all be answered. Additional information can be provided, but these are the questions we are required to provide online responses to in the CNCS online program.

Position Title (include VISTA): WSU Fellow – ORGANIZATION VISTA (Insert Title: ie. VISTA Volunteer Coordinator, ABC Outreach VISTA)

Organization: Organization Name, Inc. Location: 0321 Somewhere St., Nowhere, KS, Zip with 4 digit extension requiredContact person: Supervisor Savvy, Executive Director, [email protected]

(503) 123.4567, ext. 8Website: www.myorganization.com

Two-line Description: (Two-Line Teaser, maximum 200 characters with spaces, viewed by VISTAs in my.AmeriCorps.gov to entice them to select the position)

Samples: If you care about public health, working in the WSU Center for Public Health Initiatives will give you hands-on experience with strengthening local and state systems. You Eat 2 is a food bank that provides nutrition and resources to students in low-income neighborhoods in Kansas during the summer. Join us to plan and organize fun, healthy options for kids

Got FUN? The Bookmobile supports a fun bunch of people, books, activities, and connections. Its library outreach programs support folks in two rural counties.Join a dedicated team of hard-working professionals and help to further develop and expand an in school literacy tutoring program for at-risk youth in Kindergarten through 2nd grade.

Apple Seeds inspires healthy living through garden-based education. Our Farm Program Coordinator will assist the Farm Manager as well as others in development and capacity building at our Teaching Farm.

Program Description: Who, what, when, where, why and how of your position, maximum 2,000 characters with spaces. Organizations role in community and your mission. The brief tasks and any specific skills you are seeking. What are the benefits of joining your organization?

Other benefits:Does your organization provide any benefits such as meals, housing, uniforms, transportation, etc.? If so, please list:

Required age: 18 years old is the minimum or you can select an older age ___________

Is a car or a driver’s license recommended or required, if so, which one? _______________________

Select minimum desired education level:

Some college College graduateHigh school diploma/GED

Mark the information about skills would you like potential members to possess

Counseling Fundraising/Grant Writing Youth DevelopmentArchitectural Planning Law General Skills

Developed by Clara Barton VISTA Corps (Portland, OR). Please retain original attribution when adapting or using this resource. Rev. September 2010.

Page 17: Sample Site Application - Community Engagement Institutecommunityengagementinstitute.org/Documents/VISTA2018... · Web viewThrough activities such as fundraising, developing community

Business/Entrepreneur Leadership Environment Communications Medicine Non-Profit Management Community Organization Public Health Social Services Computers/Technology Public Speaking Urban Planning Conflict Resolution Recruitment Disaster Services Education Teaching/Tutoring Veterans Fine Arts/Crafts Trade/Construction Teamwork First Aid Writing/Editing Other? _____________

Do you have a language requirement in addition to English? _________________

Primary Duties (Refer to VAD, 1,000 characters with spaces or less)These are example, change them to suit your organization’s needs:Facilitate resident advisory councils and support resident activities that build community.Contact service providers; establish partnerships and referral systems to ensure service provision.Identify speakers for site-based presentations and programming; schedule and coordinate same.Solicit donations for residents and events (i.e. pizza for meetings, tickets for family outings, etc.)Write/publish ORGANIZATION’s newsletter, a bi-monthly newsletter for residents. Coordinate and oversee summer food program and back-to-school supplies giveaway (in partnership/conjunction with other organizations).Maintain database that tracks tenant services provided, tenant participation in programming, and results of tenant satisfaction surveys.Research and identify sources of funding for ORGANIZATION’s Volunteer Services Program.Work with staff to write grants and submit funding applications.Attend meetings, trainings and other professional development.

Define the field of service areas in which your VISTA would serve (select relevant areas)

Community and Economic Development Health Community Outreach Hunger Children/Youth Hurricane Katrina Disaster Relief Homelessness Education Housing Entrepreneur/Business Homeland Security Elder Care Neighborhood Revitalization Ex-Offender Reentry Public Safety Environment Technology

Preferred Qualifications (These are examples, list your qualifications here.)An independent, self-motivated, creative and resourceful individual with a commitment to our mission.Strong interpersonal, verbal, and written communication skills – please provide a writing sample.Fundraising/grant writing experiences a plus.Comfortable with computers, proficient with Windows Office Suite and database programs.Valid driver’s license, good driving record, and personal vehicle.

If the organization requires a separate application and it’s available online, provide the link here:

For more information about this position, please contact: (name, phone number and email address)Supervisor Savvy, Executive Director, [email protected], (503) 123.4567, ext. 8

VISTA/Sub Site Docs/Application Docs/Site Application 20182018.6 Last Updated

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