-Program Contacts (T ‘o add additional dir ect supervisors of the member work, complete Attachment A):
Host Site Supervisor’ 3 Name (this will be the primary contact for Amer iCorps staff):
“Supervisor Title: a
wee Email Address:
ss Phone: ee
Some instances may require contacting the site | ; ° ae ‘Supervisor’ § Superior:
“supervisor's superior, suchas; oo, 7 3 Title:
.~ In the event that a supervisor leaves their position Email Address:
--Host Site responsibilities are out of compliance oe Phone: =
Supervisor Certification of Responsibilities (to be initialed by direct supervisor
ee .
lam available to meet with the AmeriCorps Member at least once ner week to review projects/expectations
1am able to approve timesheets online at least every other week or find an appropriate person to do so. |
. 3. 1am available to work with those responsible for financial aspects at my agency to determine inkind
‘amounts at the beginning of the AmeriCorps term.
7A tam available to work closely with the AmeriCorps staff and i provide prompt communication ifthere are 2 any
oe ‘concerns (even small ones). a Es: oo
5. Jam available to serve as a coach to the AmeriCorps Member.
6. lam able to submit all required paperwork in a timely manner.
i, Ifa change in supervisor is required, the Host Site must provide proof of supervisor
experience/avatilability before the change can occur.
ill. Will be able to provide all interview documentation including two documented reference
checks for the Member, written interview questions, and interview evaluations used in
making the selection decision if requested by Goodwill.
iv. Host site is responsible for providing Goodwill with a proof of non-profit status or
equivalent for their organization.
v. Itis the Site Supervisor’s responsibility to provide accompaniment for an AmeriCorps
VISTA Member who has started their term of service, and is serving vulnerable
populations, but does not yet have a cleared FBI. A person is accompanied when he/she
is in the physical presence of a person cleared by their host site for access to a vulnerable
population. Vulnerable populations include: seniors, children, and individuals with
disabilities. Accompaniment must be documented in member timesheets.
vi. The duties of this Site Supervisor include: providing a written VAD for the Member,
orienting the Member to the Host Site; developing objectives for the Member; explaining
to the Member plans and procedures necessary to accomplish the objectives; review and
approve timesheets on a weekly basis; providing adequate training and the necessary
materials, supplies and equipment to the Member when needed; ensuring members do not
participate in projects that pose undue safety risks or are prohibited activities under
AmeriCorps VISTA regulations; monitoring the progress of the Member in
accomplishing the objectives and reporting progress to AmeriCorps VISTA staff;
communicating to the Member and to the Program Manager within 72 hours any conflicts
requiring resolution that may arise during the year; and assisting Goodwill VISTA
Partnership in evaluating the performance of the Member and the Goodwill VISTA
Partnership.
vil. The AmeriCorps® VISTA Member will be required to attend all required AmeriCorps
VISTA sponsored trainings. The supervisor is expected to support the member in
attending these trainings, ensuring there are not conflicts with scheduling which prohibit
the member’s attendance. Members who receive two unexcused absences from Goodwill
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