Keystone SMILES Community Learning Center
AmeriCorps Community Outreach Request
This form is to be used for service hours beyond your regular service site's direct supervision. Please only complete this request is the service taking place is not under the direct supervision of your daily host site supervisor. This form is not necessary if you are being supervised by your direct host site supervisor.
Will this service take place at your host site under your direct host site supervisor?
Do Not Fill This Out