Lakes Region Conservation Corps Interest Form
Please familiarize yourself with the Lakes Region Conservation Corps Host Site Handbook prior to filling out this application.  Direct any questions to the AmeriCorps Program Manager at the Squam Lakes Association.  You can learn more about the Lakes Region Conservation Corps at: https://www.lakesregionconservationcorps.org/.  You can access the host site handbook at: https://drive.google.com/open?id=1FgqBesPy7USssW3y9ZI3VsAjrLPzFhiK.
Sign in to Google to save your progress. Learn more
Organization Name:
Are you Interested in half-year (900 hours) or full-year (1700 hours) members?
Clear selection
How many members are you interested in hosting?
Are you able to provide housing to your members?  If so, where?
Are you able to provide a full-time or full-time equivalent staff member to act as site supervisor?
Who will be your site supervisor?
What large-scale projects will your members be doing?
What will your members be doing on a day to day basis?
Host Sites must meaningfully contribute to our federal grant performance measures.  How does your site plan to contribute to these performance measures?
1) Trails: Miles of trails maintained or improved 2) Invasive Species: Acres of invasive species removed 3) Education: Individuals experiencing an increase in knowledge 4) Volunteers: Number of volunteers recruited due to LRCC efforts
Are there other ways that you might contribute to the Corporation for National Community Service's focus area Environmental Stewardship?
The Lakes Region Conservation Corps charges an administrative fee dependent upon the number and type (full-time versus half-time) of members you host.  Is your host site able to pay at least $500 per member?
Administration fees are subject to change.
Clear selection
Can you confirm that members will not take part in any prohibited activities as stated in 45 CFR § 2520.65?
Clear selection
Can you confirm that members will not take part in duplication?
"Nonduplication. Corporation assistance may not be used to duplicate an activity that is already available in the locality of a program. And, unless the requirements of paragraph (f) of this section are met, Corporation assistance will not be provided to a private nonprofit entity to conduct activities that are the same or substantially equivalent to activities provided by a State or local government agency in which such entity resides." - https://www.nationalservice.gov/pdf/45CFR_chapterXXV.pdf 
Clear selection
Can you confirm that the members will not take part in displacement?
"Nondisplacement. (1) An employer may not displace an employee or position, including partial displacement such as reduction in hours, wages, or employment benefits, as a result of the use by such employer of a participant in a program receiving Corporation assistance." - https://www.nationalservice.gov/pdf/45CFR_chapterXXV.pdf
Clear selection
Is there anything else you would like us to know about you?
What is the best way for us to be in contact with you regarding your interest?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms