New Service Site Application for Half-Term Member Positions

This form must be filled out and submitted in one session. We recommend using a downloadable version of the application to draft your responses  if you are unable to complete and submit in one session. Alternatively, a pdf version of this application with your filled-in responses can be downloaded by selecting print (Ctrl+p) and choosing print to adobe pdf (or selecting the adobe PDF option from the list of available printers). 

Service Site Information

Lead Applicant Organization

Individual Filling out Form

Phone

Number of staff who work at this organization

Service Site Mission & Vision

1. Organizational Background: Write a one to two paragraph description of your organization’s background. Include the mission.

2. TerraCorps is committed to building equity in land conservation for all communities across the urban-rural landscape continuum. What practices does your organization have to increase inclusion and empowerment of people and communities that have historically been marginalized relative to land conservation and land access?

3. What is your organization’s philosophy on environmental justice? How is that philosophy implemented in your work?

4. What is your organization’s greatest accomplishment relative to equitable land access and conservation work in your community/region?

Service Site Eligibility

TerraCorps service sites must meet the following eligibility requirements. Please read the Service Site Application Packet and answer each of the following questions below.

    Is your organization a non-profit 501(c)3 organization in Massachusetts with land conservation, land access, or sustainable land use as part of its mission or vision statement?

    Is your service area local, regional, state-wide, national, or international?  (Note: the TerraCorps model is designed to support local and regional organizations.)

    Does your organization (or lead organization if sharing a member) have at least one full-time staff member? (Note: necessary for lead service sites)

    Can your organization meet TerraCorps' member supervision requirements?

    Can your organization provide special equipment needed for your TerraCorps members to carry out their service activities?
       Office Space
       Phone
       Voicemail
       Computer
       E-mail Account
       Printer
       Fax Machine

    Does your organization have liability insurance that would cover your TerraCorps member(s) at the service site and in the field?

    Does your organization have the capacity to manage monthly administrative reporting?

    Can your organization cover the following program match per each half-term position?
      1. $4,216 program service fee in cash to TerraCorps
      2. $900+ spent on your members’ service-related travel, equipment, and supplies, not including a computer;
      3. 80-100 hours of staff time per member for in-kind match to the AmeriCorps grant.

    Does your organization offer services without regard to age, religion, disability, political affiliation, veteran status, gender, sexual orientation, race, ethnicity, or national origin?

    Does your organization provide a drug-free workplace?

    Is your organization fully accessible to people with disabilities? Please explain:

Member Request

5.  How many members would you like to have serve at your organization, and in which TerraCorps positions? (You may request more than one member in each position.)

    Regional Conservation Coordinator

    Community Engagement Coordinator

6.  What other positions, if any, might you want to add in the next 2 years?

    Regional Conservation Coordinator

    Community Engagement Coordinator

Capacity Building Needs and Projects

After reading the Service Site Application Packet description and examples of capacity building activities and projects (Appendix A), please answer the following questions:

7.  What pressing need(s) for land conservation, land access, or sustainable land use in your service are will be addressed through TerraCorps member capacity building activities? (200 – 400 words)

8.  For each position requested, briefly describe 1 hypothetical service site capacity building project that you intend for your member(s) to carry out next year. For each project, describe the primary need addressed, goal(s), and partner(s) if applicable. (150 – 200 words) Note: We recognize these projects may change based on member interests and other current unknowns.
    If you have additional project ideas that you plan to explore, please list them here.

Environmental Awareness and Stewardship

After reading the Service Site Application Packet description and examples of environmental awareness and stewardship activities and projects (Appendix A), please answer the following:

9.  List the primary audience and type of education and training that your members will deliver to meet the Environmental Awareness and Stewardship measures. (150 – 200 words).

Volunteer Impact

After reading the Service Site Application Packet description of volunteer impact (end of Appendix A), please answer the following:

10. How will you encourage your TerraCorps members and your organization's long-term volunteers to engage with each other in a meaningful way? (50 – 150 words).

Member Recruitment and Training

TerraCorps service sites are responsible for providing their AmeriCorps member(s) with professional development support needed to carry out their service activities. TerraCorps members can schedule up to 20% of their time for training. The TerraCorps program itself provides roughly 78 hours of orientation and training for full-term members and roughly 48 hours for half-term members. We expect service sites to schedule approximately 10% of their member’s time for mentoring, skill building, and general professional development (on or off site).

11.   Please describe the professional development opportunities that you will provide for your member(s) to carry out their service activities. If outside expertise is needed, what training resources might you tap? (50 – 150 words)

12.  Service sites are responsible for local recruitment and for applicant interviews and selection. Past experience shows that strong local recruitment efforts often produce better experiences for members and service sites in these ways: housing availability, familiarity with locale, connections to local groups and networks. The TerraCorps program staff helps support local recruitment efforts and manage statewide and national recruitment systems for member applications, interviews, and selection. Please describe what your organization will do to lead local recruitment of member applications.

Service Site and Supervisor References

Service Sites and Supervisors have primary responsibility for training their AmeriCorps member(s) and overseeing their service activities, including timekeeping and monthly reporting. (See full description of supervisor responsibilities in the Service Site Application Packet.) After the first 1 – 2 months of their member’s orientation and training, supervisors will plan to meet with their member for at least one hour each week for ongoing guidance and mentoring. Anticipate committing roughly 8% of a full-time equivalent staff position for one member. (Note:  it is critical to report all supervisory staff time as match to the AmeriCorps grant)

13. Please include the following information for each staff person who will be supervising a TerraCorps member:
   a. Supervisor Name
   b. Number of hours per week this person works for your organization
   c. Briefly describe the person’s position in your organization/agency (50 – 100 words)
   d. Attach Resume

Additional Supervisor?NoYes

   a.  Supervisor Name

   b. Number of hours per week this person works for your organization

   c. Briefly describe the person’s position in your organization/agency (50 – 100 words)
   d. Attach Resume

Additional Supervisor?NoYes

   a.  Supervisor Name

   b. Number of hours per week this person works for your organization

   c. Briefly describe the person’s position in your organization/agency (50 – 100 words)
   d. Attach Resume

Additional Supervisor?NoYes

   a.  Supervisor Name

   b. Number of hours per week this person works for your organization

   c. Briefly describe the person’s position in your organization/agency (50 – 100 words)
   d. Attach Resume


14.  Please provide information for two organizations or agencies that you work with whom we can contact as a professional reference to confirm the following:
      •Your organization provides a healthy work environment for its staff and volunteers
      •Your organization performs work to the satisfaction of partnering groups or individuals
      •Your organization has an ability to fulfill financial commitments and administrative reporting obligations

1) Organization

Email
Address

2) Organization

Email
Address

Thank you for your time!