Keystone SMILES Community Learning Center
Host Site Recruitment Tracking For 17-18
As a Keystone SMILES AmeriCorps Host Site, your cooperation in providing feedback as soon as possible concerning the interest of your AmeriCorps applicants is very important. Please review the applications as soon as possible and immediately complete this form if you are not going to interview the applicant .
Once you have interviewed an applicant, please complete this Wufoo form so we can contact the applicant concerning their application status and possibilities.
You Agency Name (AmeriCorps Host Site)
AmeriCorps Applicant Name
Please select the status of this applicant
Accepted by host site
Declined - No positions available to fill
Declined - Not interviewed - Does not meet required qualifications
Declined - Not interviewed - Does not meet minimum requirements
Applicant does not respond to multiple contact attempts
Applicant declined interview
Interviewed and declined by host site
Interviewed and applicant declined position
Additional Notes: Please enter below any additional information that would assist us with the follow-up communication with this applicant, i.e dates of contact, reason for decline etc.
Service Site Location: Building/ School Name
Direct Supervisors Name
Please select all grade levels this selected member will serve
What AmeriCorps position Type is this applicant filling at your host site?
Full Time Education Award 1700 Hours
Half Time Education Award - 900 Hours
Reduced Half Time Education Award - 675 Hours
Quarter Time Education Award 450 Hours
Minimum Time Edcucation Award - 300 Hours
If known, what is the date this applicant will start
Please provide a weekly schedule for this member: EX: M-F 8AM-4:30PM
Do Not Fill This Out