Massachusetts Service Alliance - AmeriCorps Application FY25

Complete this form in its entirety to submit your application to host an AmeriCorps program. Applications must be received by Friday, October 4 by 2:00PM EST. If you experience technical issues, or if you have questions, please contact JJones@mass-service.org.

2025-2026 AmeriCorps Application Cover Page

Organizational Information

Please be sure to enter your organizational information fully, without using acronyms, in order to ensure it reflects the full legal name of the organization.

Legal Name of Applicant Organization

Street Address

Today's Date

City

State

Zip Code

Applicant Organization's EIN

Do not use special characters, such as a hyphen, when entering your organization's EIN.

Geographic Area Served

Person to Contact with Questions About Application

First Name

Last Name

Title

Phone Number

Email address

Proposed Program Information

Program Name

Please use abbreviations if necessary to meet 65 character limit.

Requested AmeriCorps Member Positions and Slot Type Information

Enter a zero in the fields associated with slot types you are not requesting.

Total Number of AmeriCorps Members Requested

The minimum number of MSYs an applicant may apply for is 10.

# of Full-Time Member Slots Requested (1,700 hrs)

# of Reduced Full-Time Member Slots Requested (1,200 hrs)

# of Half-Time Member Slots Requested (900 hrs)

# of Reduced Half-Time Member Slots Requested (675 hrs)

# of Quarter-Time Member Slots Requested (450 hrs)

# of Minimum-Time Member Slots Requested (300 hrs)

Is the applying organization delinquent on any federal debt?

NoYes

Other Information

To the best of my knowledge and belief, all data in this application is true and accurate and that this proposal has been approved for submission through the appropriate channels within my organization.

Yes - By selecting "yes", I am agreeing to the statement above.No

Executive Summary

Copy the Executive Summary from you Narrative Template in the space below.

Narrative Template

Logic Model Template

Budget Worksheet

Performance Measures Worksheet

Authorization, Assurances and Certifications

501(c)3 Status Verification Form

Most recent audit

Evaluation Plan (if needed)

Union Concurrence Letter (if needed)

Federal Delinquency Explanation (if needed)