Disclaimer. These forms are only samples, are not endorsed or approved by the Corporation for National and Community Service or the Resource Center, and have not been reviewed for compliance with program or funding regulations.

A. Absent/Tardy

• XV.A.1.PDF Tell Me a Story Absence/Tardy Form

B. Activity Log

• XV.B.1.PDF Tell Me a Story Record of Service Hours

C. Data Collection

• XV.C.1.PDF Volunteer Montana! Data Reporting Form
• XV.C.2.PDF Forms for Collecting Client Information

D. Emergency Form

• XV.D.1.PDF AmeriCorps Emergency Information
• XV.D.2.PDF Foster Grandparent Insurance and Emergency Information Form

E. Financial Review

• XV.E.2.PDF Guidelines for AmeriCorps Quarterly Financial Reports

F. Gift/Donation

• XV.F.1.PDF Arkansas Commission on National and Community Service In-Kind Contribution
• XV.F.2.PDF Receipt Voucher In-Kind Contribution
• XV.F.3.PDF Gifts In Kind Report

G. Health Insurance

• XV.G.1.PDF Washingington AmeriCorps Health Insurance Verification Form

H. Incident/Injury

• XV.H.1.PDF Los Angeles Anti-Hunger Incident Report
• XV.H.2.PDF Tell Me a Story Member File Report

I. Member Report

• XV.J.1.pdf AmeriCorps Member Monthly Report
• XV.J.2.pdf Campus Link Member Monthly Reporting Form

J. Mileage

• XV.I.1.pdf Mileage Record

K. Parental Permission

• XV.K.1.pdf Parental Permission for Participation in America Reads
• XV.K.2.pdf Washington AmeriCorps Parent Consent Form

L. Personal Leave Request

• XV.L.1.PDF Arkansas Department of Human Services Request for Leave
• XV.L.2.PDF AmeriCorps SWEAT Leave Request and Approval Form

M. Program Checklist

• XV.M.1.PDF Georgia Commission for National and Community Service
• XV.M.2.PDF Catholic Network of Volunteer Service

N. Progress Report

• XV.N.1.PDF Idaho Trio AmeriCorps Final Progress Report

O. Reference Verification

• XV.O.1.PDF Foster Grandparent Program Reference Verification

P. Service Termination/Withdrawals

• XV.P.1.PDF AmeriCorps Youth Harvest Withdrawal from Program
• XV.P.2.PDF Service Termination Form - Parenting Education Project

Q. Site Visit Report

• XV.Q.1.PDFMANY Corps AmeriCorps Site Visit
• XV.Q.2.PDF Georgia Commission for National and Community Service Site Visit Report

R. Supervisor Monthly Report

• XV.R.1.PDF South Carolina Victim Assistance Corps

S. Training Report

• XV.S.1.PDF ADOV Staff Monthly Training Report

T. Travel Report

• XV.T.1.PDF Pittsburgh Health Corps Travel Voucher Instructions

U. Tutoring Log

• XV.U.1.PDF Delaware Tech and AmeriCorps VISTA Tutoring Agreement and Log