Position Description/Site Agreement

Telling the Story of your Service

Purpose of this form

• This form will provide a comprehensive description of:• Service activities• Where you are serving• Community Benefits

• Three part form completed by• SIS AmeriCorps Member• Site Supervisor• SIS Campus Coordinator

Part I: Position Description

Completed by: SIS AmeriCorps MemberTwo pages6 short sections

Please provide Identifying Information

Full NameCampusService Site

No acronyms

1. SIS Program Concentration Areas:Service MUST be fall under one of the Four Service Concentration Areas.

Strengthening Community-Based Organizations Capacity

Education/Improving College Access and Success

Mobilizing Volunteers

Engaging Veterans

You must check at least one and all that apply.

Four Service Concentration Areas

Strengthening Community-Based Organizational Capacity• Service activities that improve the ability of a non-profit or government

organization to serve its community and achieve its mission

Mobilizing Volunteers• Providing other services that involve mobilizing volunteers for community events,

community organizations, and/or National Days of Service

Education/Improving academic access and success• Service activities that improve the academic access and success for disadvantaged

and/or at-risk youth

Engaging Veterans• Other service opportunities that engage Veterans in serving their community or

benefits Veterans in general

2. Who are the Beneficiaries of your Service?Beneficiaries of your service are: Members or aspects of the community that are directly benefiting from the service activities the SIS AmeriCorps member provides.

You must check at least one and all that apply.

3. What unmet community need does your service address?Now that you’ve told us who your service is benefitting

Tell us how your service will improve your community.

Check at least one and all that apply.

4. What are your specific duties and responsibilities at your service site?Now that we know who you are serving, and the unmet need it will address, tell us what your service activities are.

Example 1: I’m working with Habitat for Humanity

I’m building homes for low-income individuals; creating flyers to recruit volunteers; conducting materials drives; recruiting volunteers; developing partnerships with other community agencies; creating PowerPoint training sessions about Habitat for Humanity; etc.

5. Describe two ways in which your service will positively impact your local community.Example 1. I’m serving as a counselor• The mental health of over 30 low-

income community members, who otherwise would not receive mental health counseling, will improve

• The capacity of the mental health clinic to serve low-income community members will be strengthened

Example 2. I’m serving at a Title 1 School• 25 at-risk students will have more

confidence in their English skills and will be improved writers

• Students be better prepared to apply and attend college in the future

6. What value-added service will you bring as an SIS AmeriCorps member?Value-added service is the additional benefit a community receives from having an SIS AmeriCorps Member.

Check at least one and all that apply

Member Development PlanProvide member development / training goals you plan to pursue during your term of service.

Member Development must:• Be related to the direct service or

future service/professional goals• Help members develop their ability

to better help their community now and/or in the future

Can include any trainings, readings, reflections, an elective class, symposiums, workshops, In-service, presentations, etc. that will help you in better serving your community

Examples of Member DevelopmentLearning a new

language such to better serve a target

population

Taking a class in website design to help non-

profits with their website

Taking a First Aid/ CPR class

Teacher education classes that provide

added skills/knowledge for direct service

activities

Working out/exercising to pass a disaster relief worker strength test or

firefighter exam

Reflecting on your service and providing a

great story

Take an extra coaching class to be better

prepared to be a coach for Special Olympics

Take an intercultural communication class so

as to work more effectively with

immigration services

Time spent in workshops at a Service Learning Conference

One last step…As an AmeriCorps Member participating in the SIS AmeriCorps program, please• Review,• Sign,• and DateBefore moving on to Part II

Part II: Acknowledgment of Prohibited Activities

• Completed by:– SIS AmeriCorps Member– and Site Supervisor

• After reviewing with your Site Supervisor, sign and date the form.

Part III: Site Agreement• Completed by:– Site Supervisor

• Please provide all information.

• Must be signed and dated by Site Supervisor before enrollment in SIS AmeriCorps Program

Part IV: SIS Campus Coordinator Checklist and Certification

• Completed by:– SIS Campus Coordinator

• Coordinator will review the form for:– Completeness– Appropriateness of

Service activities– Signatures and Dates