AmeriCorps Legal Fellowships
Program Manual
Policies and Procedures for Equal Justice Works and
AmeriCorps Host Sites
Last updated November 2009
I. Introduction
The Equal Justice Works AmeriCorps Program Manual is designed to facilitate compliance with the
administrative aspects of the AmeriCorps grant by providing a single location for basic guidance, forms and
key documents for the program. We encourage project directors and fiscal managers to use the guide as a
resource throughout the program year. In addition, Equal Justice Works staff is always available for additional
administrative support and will make every effort to anticipate your needs and respond promptly to requests
for information.
Please note, although this guide is intended to provide project directors and fiscal managers with a general
understanding of the rules and regulations that govern the Equal Justice Works AmeriCorps Legal Fellowship
program, the legal requirements of the grant are found in the AmeriCorps statute and regulations (National
and Community Service Act of 1990 and 45 CFR 2510 et seq.), the AmeriCorps Provisions and the Equal Justice
Works Subgrant Agreement. The complete AmeriCorps statute, regulations and provisions may be found at:
http://www.americorps.gov/for_organizations/manage/index.asp#provisions
For 2009‐2010, Equal Justice Works will operate an AmeriCorps program funded by the American Recovery
and Reinvestment Act (popularly known as “Recovery” or “Stimulus.” AmeriCorps program operations will be
largely the same for Fellows funded through Recovery, but there are some differences. Policies unique to
Recovery are presented in the Manual in this dark red font.
This manual details the following responsibilities for both Equal Justice Works (the parent organization) and
subgrantee host organizations (sites):
Equal Justice Works Grant Responsibilities
When awarding funds to Equal Justice Works, The Corporation for National and Community Service (CNCS)
requires Equal Justice Works to ensure that our staff, host organizations, and Equal Justice Works AmeriCorps
Fellows are operating in compliance with their regulations. Equal Justice Works is responsible for the
following responsibilities under the AmeriCorps grant:
Timely disbursement of CNCS grant dollars and foundation match funding to host organizations;
In‐depth orientation and training for host organizations on AmeriCorps management,
regulations, and effective practices;
Orientation and training for AmeriCorps Fellows regarding Equal Justice Works and AmeriCorps;
Ongoing support to both host organizations and AmeriCorps Fellows on planning and
implementing their service activities (including regular phone and electronic contact);
Ongoing support for AmeriCorps Fellows to build effectiveness and esprit de corps, and to fulfill
their professional development goals;
Regular communication with AmeriCorps Fellows regarding professional development
opportunities, best practices in pro bono legal volunteer management, opportunities for cross‐
site collaboration, and issues of relevance to the Fellows and host organizations;
Ongoing systematic support to host organizations regarding member monitoring and
supervision;
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Administration of program evaluation efforts;
Encouragement of media coverage about AmeriCorps Fellows and their service;
Promotion of AmeriCorps Fellows’ efforts to stakeholders in government, the private sector,
higher education, and foundations;
Preparation of required fiscal and program impact reports for the Corporation for National and
Community Service; and
Administration of grant funds to support AmeriCorps Fellows (excluding payroll and health care
coverage).
Host Organization Grant Responsibilities
As subgrantees in a federally funded program, host organizations are also subject to AmeriCorps restrictions
and requirements. Equal Justice Works AmeriCorps staff is available to provide support, training, and
technical assistance to help host organizations develop and maintain systems to ensure compliance with these
requirements.
The complete AmeriCorps statute, regulations and provisions may be found at:
http://www.americorps.gov/for_organizations/manage/index.asp#provisions
Several notable regulations or grant requirements for host organizations include:
A. Grant Period
The Corporation for National and Community Service gives a three‐year programmatic approval with an initial
one‐year grant award.
If Equal Justice Works and CNCS approve your application to enter into a multi‐year award agreement, Equal
Justice Works will provide funding at the outset only for the first year of the program. Funding for the second
and third years of an approved AmeriCorps program is contingent upon the satisfactory progress toward the
program objectives at the parent organization and host site level, the approval of proposed changes in
activities or objectives, a detailed budget and budget narrative for the program year, the availability of funds,
and any other criteria established in the award agreement.
B. Monitoring Responsibilities
All recipients of AmeriCorps funds are responsible for the implementation of systems and processes to ensure
compliance with applicable requirements from the federal level and Equal Justice Works. The following are
examples of required host site monitoring activities:
maintenance of complete member files (e.g., contracts, forms, and performance reviews);
bi‐annual reporting of progress toward program objectives; and
timely electronic reporting of member status (e.g., enrollment, eligibility, and service hours).
C. Federal Financial Management and Grant Administration Requirements
Under AmeriCorps regulations, each grantee must maintain financial management systems that provide
accurate, current, and complete disclosure of the financial results of its program. To meet this requirement,
host organizations must have adequate accounting practices and procedures, internal controls, audit trails and
cost allocation procedures. All host organizations will be required to track grant expenditures in their
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accounting ledger and submit reports to Equal Justice Works on a monthly basis via an AmeriCorps online
reporting system.
Host organizations will designate staff member(s) responsible for fiscal compliance and program compliance
and will maintain backup documentation of all charges to the grant, including timesheets for AmeriCorps
Fellows and staff who charge time to the grant. Host organizations will send designated staff to an Equal
Justice Works‐sponsored training, held annually in August. Host organizations will provide bi‐weekly living
allowance payments and basic health care coverage for the AmeriCorps Fellows.
Host organizations must also demonstrate that they are in compliance with the applicable federal regulations
and laws. Equal Justice Works will immediately obtain certification and assurances of such compliance upon
notification of site selection for the program.
D. AmeriCorps Legal Fellow Supervision and Support
Equal Justice Works expects that host organizations will ensure AmeriCorps Fellows are primarily used to
provide services that support volunteers and programs in accordance with agreed‐upon program objectives.
Host organizations must treat AmeriCorps Fellows as full members of their organization, provide clear
direction, supervision and support to AmeriCorps Fellows and provide AmeriCorps Fellows office space, use of
a computer and phone and resources to accomplish their projects. Host organizations are also expected to
define, explain and recognize the service provided by AmeriCorps Fellows to stakeholders in your community
as a way to promote understanding of AmeriCorps and Equal Justice Works.
E. Communication and Reporting Requirements
Host organizations will provide monthly online Periodic Expense Reports and quarterly Financial Status
Reports to Equal Justice Works. Host organizations will report results and submit two online Progress Reports
annually on the status of the project. In addition, we expect host organizations to maintain open and frequent
communication with Equal Justice Works staff and notify us about changes in AmeriCorps Fellows’
responsibilities or other issues of concern.
F. Match Requirements
All host organizations are required to raise matching funds from the private sector, e.g., corporations,
foundations, individuals, local businesses and nonprofit organizations. The match for member support costs
(excluding health insurance) must be in non‐federal cash. Host organizations may provide their share of host
costs in cash or in kind, and may use non‐CNCS federal funds as a match if permitted by the rules governing
those federal funds.
G. Prohibited Activities
As an AmeriCorps program, Equal Justice Works AmeriCorps is subject to federal restrictions and AmeriCorps
Fellows are prohibited from performing certain activities during their service hours. For example, AmeriCorps
Fellows may not engage in:
Lobbying;
Protests;
Promoting or deterring union organizing; or
Voter registration drives during the course of their service.
The complete AmeriCorps regulations concerning prohibited activities may be found at on the CNCS’s
Resource Center Website at: http://nationalserviceresources.org/.
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H. Full‐Time Terms of Service
Equal Justice Works AmeriCorps program will engage AmeriCorps Fellows in full‐time terms of service, which
are at least 1700 hours in 11 or 12 months (at the discretion of the host site, and as delineated in the
AmeriCorps Fellows’ contract). Upon successful completion of their term of service, AmeriCorps Fellows will
receive an education award from the National Service Trust in the amount of $4,725.
I. Member Living Allowance
Equal Justice Works requires all participating programs to provide the maximum AmeriCorps living allowance
($22,800 in 2009‐2010) for a full‐time member. AmeriCorps Fellows also receive the health care coverage
offered to employees of the host site.
J. Supplemental Benefits
Host organizations must supplement the living allowance of their AmeriCorps Fellows, up to the starting salary
of new staff attorneys in the organization. Supplemental benefits may be paid to the Fellow (with completion
of the Supplemental Benefits Agreement Form) or to a third party. The most common supplemental benefit is
monthly housing assistance paid to a landlord or mortgage company. Some host organizations provide other
benefits including loan repayment assistance and help with transportation costs. Our current host
organizations provide between $7,200 and $22,800 per AmeriCorps Fellow in supplemental benefits,
depending on location and whether the Fellowship is funded through the Recovery Act.
K. Fellow Recruitment and Selection
Host organizations are responsible for recruiting AmeriCorps Fellows. Program applicants must be third‐year
law students or graduates from an Equal Justice Works member law school. A list of current member law
schools can be found here: http://www.equaljusticeworks.org/communities/lawschools/members
As a national organization, Equal Justice Works will assist programs by marketing opportunities for the
program to our law school membership, national public interest listservs, and through the AmeriCorps online
recruitment system. We also promote your program and service opportunities on your organization’s Equal
Justice Works micro‐site found at http://www.equaljusticeworks.org/programs/americorps/general.
Applicants should discuss their plans for recruiting AmeriCorps Fellows in their application. To improve
recruitment, applicants are strongly encouraged to independently supplement AmeriCorps Fellows’ benefits
by, for example, paying bar dues and/or providing a cash match to the AmeriCorps Fellows’ education award
upon completion of the service term.
L. Child Care and Health Insurance
1. Child Care
AmeriCorps directly funds child care for any full‐time member who is income eligible and who needs such
assistance to participate in the program. CNCS will pay 100% of the allowance as defined by payment rates of
the Child Care and Development Block Grant (CCDBG).
2. Health Insurance
Host organizations must provide full‐time AmeriCorps Fellows with health insurance at the time of acceptance
into the program if the member is not otherwise covered by a health insurance policy.
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II. Fiscal Guidance
OVERVIEW
Over the course of the grant term, the Equal Justice Works AmeriCorps operating sites are required to prepare
several financial reports on their AmeriCorps project. The Corporation for National and Community Service
(CNCS), the federal agency that oversees AmeriCorps, requires AmeriCorps programs to complete these
reports as part of a broader set of fiscal management systems and procedures. Equal Justice Works, the
grantee and fiscal administrator, considers these reports and systems extremely important in ensuring
compliance and accountability at both the national program and local operating site levels.
GRANTS MANAGEMENT SYSTEM
Sites will submit and manage program budgets in the Equal Justice Works Grants Management System:
http://www.equaljusticeworks.org/communities/participants/americorps/gms
The following guidance is designed to help project directors and financial managers understand and prepare
the required fiscal reports. As the grant term progresses, CNCS may require additional fiscal reports or may
make modifications to existing reports.
Sites enter budgets at the start of the grant. The budget outlines the funding charged to CNCS and the
match provided by the host site in support of the Fellows.
Sites maintain supporting documentation for costs billed to the grant and to the match each month,
and report these expenses on Periodic Expense Reports
It is essential that operating sites maintain the correlation between these fiscal reports. An adjustment to any
of the reports triggers a corollary adjustment to other reports. Site financial and accounting staff should be
familiar with the required fiscal reports, as they are comparable to financial reports required by other funding
sources.
The sections that follow address the reading, financial reporting and timekeeping requirements necessary to
effectively fulfill the fiscal and programmatic responsibilities. Project directors and fiscal managers should be
thoroughly familiar with the fiscal management and reporting requirements of the AmeriCorps grant. Each
site is responsible for compliance with all of these requirements and will be responsible for any
noncompliance findings or recommendations determined by CNCS.
FINANCIAL AND TIMEKEEPING REPORTING REQUIREMENTS
This section contains fiscal reporting instructions. The instructions identify how each form is connected to
other fiscal reports. Fiscal reporting forms and instructions are subject to change by CNCS.
1. Site Operating Budgets
Site Operating Budgets are prepared annually when sites submit their grant application to Equal Justice
Works. Operating site budgets are based on the forms and instructions contained in the CNCS
Application Guidelines. Sites should be aware that CNCS modifies these guidelines from year to year.
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2. Periodic Expense Reports
Periodic Expense Reports (PERs) are prepared by operating sites at the end of each month and show
cumulative expenditures of CNCS and non‐CNCS funds, or grantee share of funds commonly referred to
as match. The expense categories for the PER are the same as those from the operating site budget.
Most importantly, the PER serves as the basis for issuing monthly grant checks to projects and for
preparing the quarterly Federal Financial Reports. Checks are issued on a reimbursement basis.
Beginning with the start of the 2009‐2010 grant year, Equal Justice Works will not require quarterly
financial reports, and will use the PER for this function.
IMPORTANT POINTS TO REMEMBER:
For 2009‐2010, sites much allocate all CNCS funds to Section 2, Member Support Costs (specifically for Line A,
Living Allowance). No CNCS funds may be used for supplemental benefits.
CNCS funds may not be reallocated to other categories or line items.
The program calendar outlines reporting deadlines for the regular and Recovery grants for the duration of the
service year. If you have a question about these deadlines or do not have access to them, please contact Equal
Justice Works staff.
Equal Justice Works strongly discourages billing non‐Fellow staff time to the match (and prohibits billing staff
time to the grant). Staff time that is billed to the match must be supported by grant allocation time sheets
and payroll ledgers and submitted to Equal Justice Works upon request.
Note about supporting documents and retention of records: Sites are required to maintain all supporting
documentation of expenses charged to the grant including CNCS and non‐CNCS match share. Documentation
must be retained for a period of 3 years after the official closeout of grant award by CNCS.
III. Fellow Information and Documentation
The following is general guidance regarding the types of actions, oversight and support sites need to provide
each AmeriCorps Legal Fellow at their site over the course of the program year.
AmeriCorps Legal Fellow File Checklist
All sites are required under the AmeriCorps grant to keep certain forms and records on file for each
AmeriCorps Legal Fellow. The checklist has been designed to assist you in maintaining complete records for
each AmeriCorps Legal Fellow. The required items are noted with an asterisk. There is space on the checklist
to add additional items that your site may keep in Fellow files.
For the purposes of grant compliance, host sites will maintain the documents of record required in member
files by CNCS. In addition, host sites will send electronic or paper copies of specified forms to Equal Justice
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Works. In the first quarter of the program year, Equal Justice Works will review submitted materials and verify
compliance, and request submission of any missing materials.
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Member Enrollment and Exit Instructions
These instructions will direct sites through the enrollment and exit processes for each Fellow. Fellows must
be enrolled in the new My AmeriCorps Portal within 7 calendar days of the Fellow’s start of service.
Likewise, exit forms must also be entered into The Portal within 7 days of the Fellow’s completion of service.
Enrollment and exit forms are available in the appendix of this guide and for downloading on The Corporation
for National and Community Service’s website at:
(http://www.nationalservice.gov/for_organizations/tta/forms.asp). Please complete one form for each
Fellow, keep the original signed version in the Fellow’s file and send a copy to Equal Justice Works.
Proof of AmeriCorps Eligibility – Resident Eligibility Requirements
All AmeriCorps Legal Fellows must meet AmeriCorps resident eligibility requirements. Enclosed is a form
designed to document the fulfillment of this requirement. Please have the Fellow complete this form before
finalizing their enrollment, keep the original in the Fellow’s file, and send a copy to Equal Justice Works.
Background Check
Criminal Background checks are required for all AmeriCorps Legal Fellows. An individual who is subject to a
State sex offender registration requirement may not serve in AmeriCorps. Host sites have the discretion to
reject applicants based on other offenses. A background check for bar admission is not sufficient to meet this
standard. Perform these checks on applicants:
1. National Sex Offender Public Registry (www.nsopr.gov)‐ Must be conducted prior to service.
2. State criminal check for your state
3. State criminal check for state of Fellow’s residence at time of application
Required Procedures:
1. Verify the applicant’s identity.
2. Obtain the applicant’s written authorization to conduct State criminal registry checks and to share the
results within the program.
3. Participation in the program is contingent upon the criminal history review.
4. Applicants must have the opportunity to challenge results.
5. Results must remain confidential.
Required Documentation:
1. Written verification of applicant’s identity.
2. Results of the criminal history checks must be maintained, unless prohibited by State law.
3. Written documentation that the grantee conducted the required checks and considered the results in
selecting or retaining the individual.
AmeriCorps Legal Fellow Service Contract – Signed on Day 1, Must Contain a Position Description
On the first day of the term of service, sites must execute a contract with each AmeriCorps Legal Fellow. The
Fellow cannot receive service hours toward the AmeriCorps education award until the contract is signed by
both parties. Both the site and Fellow at the onset of their service year and keep it in the Fellow’s file, along
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with any amendments. The contract must contain a position description and description of the site’s
grievance procedures. Please complete the contract no later than two weeks into the Fellow’s service, keep
the original signed copy in the Fellow’s file and send a copy to Equal Justice Works.
AmeriCorps Fellowship Workplan
All AmeriCorps Sites must submit workplans for each Fellow. AmeriCorps Fellows will develop a work plan
with their supervisor to establish project goals and to guide weekly supervisory meetings. Fellows typically
balance their time on volunteer management and on providing direct legal representation. This balance
capitalizes on the volunteer‐multiplier model, while enabling the Fellow to stay sharp as a lawyer. The
workplan does not constitute an obligation on the part of the organization to complete all tasks, but it does
serve to prioritize activities, increase productivity and minimize confusion of the different roles a Fellow plays
in the organization and community. Please complete the workplan within the first month of the term, keep
and update the original as needed, and submit a copy in the AmeriCorps Fellows Forum.
Publicity Release
According to the AmeriCorps provisions, the Grantee must obtain the prior written consent of all Fellows
before using their names, photographs or other identifying information for publicity, promotional or other
purposes. Please have each AmeriCorps Legal Fellow sign the enclosed Publicity Release form at the outset of
their service and place it in their file.
Acknowledgment of Mid‐ and End‐of‐Term Performance Review
AmeriCorps provisions require that sites conduct at least a midterm and end‐of‐term written evaluation of
each AmeriCorps Legal Fellow’s performance, focusing on such factors as completion of service hours and
assignments. In the appendix, you will find forms designed to document that sites have complied with this
requirement. Please sign one of these forms for each Fellow at the appropriate time intervals and keep them
in the Fellow’s file.
Note that evaluations should be conducted according to each Fellow’s term, not the overall grant term. Here
is an example: Site X’s grant term begins on August 1, but Fellow X does not begin serving until October 1 and
her expected completion date is September 30. Fellow X’s midterm evaluation should be conducted at some
point in April (6 months after October 1st) and not in February (6 months from start of site X’s grant term).
Time logs
Accurate time logs are extremely important. The following are a few things to keep in mind:
Service vs. Training Hours
Sites must keep a record of the hours each Fellow spends in service and in training (of the Fellow, not
trainings performed by the Fellow) on a weekly basis. No more than 20% of the aggregate of all Fellow
service hours may be spent in education and training activities.
Signatures
Each time log must be signed by both the Fellow and their supervisor, e.g., an individual in the
AmeriCorps Attorney’s office rather than someone with no personal knowledge of the Fellow’s service.
In addition, the signing supervisor should remain consistent and not change week after week ‐ of
course, another staff member should step in when the regular supervisor is out of the office.
What Hours Count
Service hours are those hours actually worked. AmeriCorps Fellows do not receive extra hours over
and above those worked under any circumstances, such as “comp time” or “time‐and‐a‐half.” Holidays,
leave time and other absences may not be counted toward hours served but should be included in the
programmatic year. Fellows and sites should maintain on‐going tallies of the number of hours serve to
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date, hours remaining to earn the education award, and average weekly hours needed to receive the
award. Equal Justice Works will request periodic updates on Fellow hours.
Prohibited Program Activities Certification
Certification of non‐participation in AmeriCorps prohibited activities is included in the exit form. This must be
completed by all Fellows, even those who do not successfully complete terms of service. Please have the
Fellow complete the exit form at the conclusion of their service, submit a copy to Equal Justice Works and
place it in the Fellow’s file.
Loan Forbearance Request and Interest Accrual Request
All participants in AmeriCorps programs are eligible to place their qualified student loans in forbearance
during the term of their service. The government will also pay the interest that accrues on these loans as a
benefit of AmeriCorps service. The national service legislation defines a qualified student loan as a loan backed
by the federal government under Title IV of the Higher Education Act. Unfortunately, some private loans do
not fall within that definition, so please inform your Fellows that privately funded loans through lenders such
as Law Access are typically not eligible for loan forbearance during AmeriCorps service. If your Fellow is
uncertain about whether a particular loan will qualify, please advise them to contact their lender or call the
National Service Trust Help Line at (888) 507‐5962. If a particular loan is not eligible for national service
forbearance, the Fellow is encouraged to call the lender to inquire as to whether they will voluntarily provide
forbearance during the term of service on the basis of national service or financial hardship.
The Fellow may log into the My AmeriCorps Portal to place their loans into forbearance . Equal Justice Works
will provide an introduction to the My AmeriCorps portal at the beginning of the Fellow’s term of service.
The Fellow may log into the My AmeriCorps Portal and request that the National Service Trust pay the interest
that has accrued on qualified loans placed into forbearance during the term of service. Equal Justice Works
will provide an introduction to the My AmeriCorps portal at the beginning of the Fellow’s term of service.
IV. Equal Justice Works Support and Monitoring Protocols
Equal Justice Works prides itself on managing the most effective and efficient AmeriCorps program possible.
We are committed to effective stewardship of taxpayer dollars and full compliance with federal regulations.
These monitoring procedures ensure rigorous adherence to AmeriCorps and OMB rules and regulations in all
aspects of the grant, including host site management. The following steps describe site support and
monitoring as conducted by Equal Justice Works throughout the life cycle of the program.
Application and Selection Process
For 2009‐2010, Equal Justice Works conducted two grants processes, for recomplete funding through the
AmeriCorps*National process, and for Recovery Act funds. In future years, Equal Justice Works anticipates
combining these programs into one application. Current sites will submit Annual Progress Reports and Grant
Renewal applications in December 2009 and 2010. Submission of organization and A‐133 audits are required
as part of the application. Equal Justice Works will release an RFP in October 2009 and 2010 for potential
host organizations to apply for funding. Equal Justice Work’s staff members will conduct a Technical Review
and Grant Review in December, and submit an application to CNCS in January 2010 and 2011.
In some instances, Equal Justice Works identifies potential host sites and funds Fellowships outside of the
above application process. These cases generally involve a crisis, and may require Equal Justice Works to help
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raise matching funds for the positions. In response to Hurricanes Katrina, Ike and the recent foreclosure crisis,
Equal Justice Works selected host sites and funded AmeriCorps Fellowships outside the application process. In
these cases, host sites are expected to apply for funds in the standard process for their second year.
Site Staff Training and Strategy Meeting
In August (the first month of the grant cycle), Equal Justice Works convenes sites for a 2 or 3 day training and
working meeting.
Each year the training covers these program management topics:
1. Financial Management, including: Creating adequate AmeriCorps financial management systems, OMB
allowable costs for the grant and match, accounting for and reporting expenditures, rules for staff and
member time keeping, member files, member eligibility, unemployment insurance, supplemental
benefits, taxability of living allowance and benefits, the College Cost Reduction and Access Act and
living allowance payments
2. AmeriCorps Program Management, including: Compliance case studies, a review of EJW audit findings
and other common audit findings
3. Programmatic Impact, including: new program design, capturing data on volunteers and clients served,
reporting procedures and communicating results to stakeholders
4. Fellow support and supervision, including: work planning, orienting and training Fellows, stating strong,
bringing out the best in new attorneys, managing law students and sustaining projects beyond the
term of service
AmeriCorps Fellow Training and Support
Member development is a primary goal of AmeriCorps programs and is mandated by AmeriCorps statute.
AmeriCorps host sites are required to provide orientation at the start of the term and training throughout the
year to all Fellows (including those entering a second term). Training hours must be tracked separately in the
host site’s time keeping systems. Equal Justice Works will verify that orientations were conducted by checking
timekeeping records for Fellows as part of desk audits and site visits.
Equal Justice Works provides two major training opportunities to AmeriCorps Fellows. (LDT): Each October,
the Leadership Development Training (LDT) is the AmeriCorps Fellows’ orientation to the national program.
The training builds upon Equal Justice Works Leadership Principles that focus on communication skills,
problem‐solving, building cultural competence, mentoring, risk taking, relationship‐building, and effective
management. During the three‐day training, Fellows practice these competencies through facilitated
discussions and interactive workshops. Several alumni participate in a networking session with the current
Fellows. They offer their collective expertise and practical advice to the incoming class of public interest
attorneys.
In the spring, AmeriCorps Fellows convene a second time to attend the annual ABA Equal Justice Conference,
which is the national conference for the pro bono legal community. At this event, Fellows have the
opportunity to speak on panels about their service, network with national leaders in the pro bono community,
and reflect on their service.
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Equal Justice Works will verify participation in national trainings using sign‐in sheets.
Member File Maintenance
For the purposes of grant compliance, host sites will maintain the documents of record required in member
files by CNCS. In addition, host sites will send electronic or paper copies of specified forms to Equal Justice
Works. In the first quarter of the program year, the Equal Justice Works AmeriCorps Assistant will review
submitted materials and verify compliance, and request submission of any missing forms required to enroll
the Fellow. As part of this process, Equal Justice Works will
confirm Fellow start dates are aligned with dates on the contract
confirm Fellow position descriptions do not include activities that are inconsistent with the regulations
and grant terms
confirm the Fellow was enrolled in the National Service Trust within 30 days from the start of the term
Prior to approval of the new grant award, Equal Justice Works will verify completed exit paperwork for the
prior year’s Fellows. In the last quarter of the program year, the Equal Justice Works Fellow will review
submitted materials and verify compliance, and request submission of missing forms required to exit a Fellow.
As part of this process, Equal Justice Works will
verify Fellows did not serve beyond the end date of their contracts
verify that mid‐year and end of term evaluations were conducted
verify certification of member hours and non‐participation in prohibited activities
confirm the Fellow was exited from the National Service Trust within 30 days from the end of the term
Financial and Progress Reporting
Important! Fellowships funded through the Recovery Act require separate accounting, and separate
reporting timelines and systems.
Financial Reports
Periodic Expense Reports: Sites will submit all financial reports in the Equal Justice Works on‐line financial
reporting system. Periodic Expense Reports (PERs) for all sites due on or before the 15th of the following
month. Equal Justice Works staff will review reports for accuracy and investigate allowability of costs as
necessary. Reimbursements for costs charged to the grant will be made by the 25th of each month. Sites that
submit PERs after the deadline will be reimbursed the following month.
Recovery funds will be reported by Equal Justice Works on or before the 10th of the month following the end
of the quarter. Equal Justice Works will prepare and submit an FFR for non‐Recovery funded fellowships on or
before the 30th of the month following the end of the quarter.
Progress Reports
A complete calendar of events and reporting deadlines can be found here:
http://www.equaljusticeworks.org/communities/participants/americorps/calendar
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Site Technical Review
Each December, Equal Justice Works conducts a technical review of all sites. Using both objective criteria and
expert opinions, Equal Justice Works staff assigns scores in categories, which are compiled into a rating
system. The results are used as one element of the site selection process, and as the basis for determining
which sites require site visits, desk audits, technical assistance and enhanced monitoring and support.
The technical review criteria may change from year to year. The criteria used for the December 2008 review
were:
Identity: Site understands and promotes mission of AmeriCorps and Equal Justice Works
Reporting: Site routinely meets deadlines on all financial and impact reports
Engagement and Responsiveness: Site responds to requests and informs Equal Justice Works of successes and
challenges as they arise
Supervision: AmeriCorps Legal Fellows give frequent positive feedback about on‐site support and supervision
Results and Impact: Between 1 and 5 points given based on results achieved for
Clients served
Volunteer law students
Volunteer lawyers
Outreach
Community partnerships
Enrollment and Exit Forms: Fellows are routinely enrolled and exited within 10 days
Retention: Sites enroll Fellows for each position, and the Fellows successfully complete terms of service
Emergency Response: Fellows serve people affected by natural or economic disaster.
Supplemental Benefits: Sites provide generous support for to match the education award or provide a housing
benefit
Quality of Experience: Fellows generally express satisfaction with service role
Innovation and Leadership: Fellows and site repeatedly expand and improve the scope of the project.
Continually Improving Program Management: Site demonstrates steady improvement in fiscal and program
management
Host Organization Audit Review Process
Equal Justice Works requires organizations to submit A‐133 audits as part of the application process. As part of
the technical review of grant applications, Equal Justice Works finance staff reviews site audits and reconciles
payments.
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Equal Justice Works will take the following steps to address sites that are not in compliance with AmeriCorps
and OMB regulations for allowable costs and adequate financial documentation and accounting systems.
1. Issue a written explanation of the result, seeking verification that it has been resolved within 30 days.
2. If unresolved after 30 days, the site will be placed on probation, and required to submit supporting
documentation for all costs billed to the grant for the next three months. Equal Justice Works reserves
the right to request management letters as part of this process.
3. If a site cannot demonstrate compliance after 90 days, Equal Justice Works will not renew funding for
the subsequent year. Equal Justice Works may terminate the subgrantee agreement at any time for a
lack of program compliance.
Most issues are resolved in 30 days. In only one case in the past three years, Equal Justice Works has placed a
site on probation, and in only one other case, as site has been terminated prior to the end of the subgrant
agreement.
Site Visits
Equal Justice Works conducts site visits to better understand the impact of the program and to ensure
compliance with policies and regulations. Site visits are conducted on both a routine and as‐needed basis. All
sites will receive at least site visit each three‐year cycle. Site visits may include the following meetings and/or
events:
Introductory meeting with project director;
Meeting with site's executive director;
Meeting with site's fiscal administrator who handles financial systems;
Meeting with staff that supervise Fellows' substantive projects;
Individual interview with Fellow(s);
A meeting with the entire team, if possible;
Time spent with Fellows conducting their work; and
Exit meeting with project director.
The visit may also include a means for assessing the community's support of value of the project, such as:
Meetings with community groups, law schools or volunteers with whom Fellows work;
Meetings with clients or client‐based groups with whom Fellows work;
Discussions with the State Commission of that site's state; and
Other meetings/events as recommended by the Fellows or the project director.
Topics of Discussion: Equal Justice Works and site staff may ask questions about and/or discuss the following:
The project's performance and outcomes to date;
Project governance and administration, including a review of the site's fiscal and timekeeping systems
and of supporting documents;
The project's systems for evaluation and continuous improvement;
Project director supervision (including process for mid and end of term evaluations of Fellow,
professional development plans for Fellow);
Fellow performance, experience and satisfaction;
"National identity" ‐‐ community knowledge and understanding of the project and Equal Justice Works
AmeriCorps;
The project's value and benefit to the community;
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Client and/or volunteer satisfaction;
Opportunities for improvement, collaboration and leveraging other resources;
Technical assistance and other needs of the Fellows and/or project; and
Ways for Equal Justice Works to provide additional assistance and improve communication.
Document and File Review: Complete Fellow File(s) will be reviewed, including but not limited to:
Signed Fellow contract, position description, and grievance procedure;
Time records for Fellow(s).
The following fiscal documents will be reviewed:
Timesheets for all staff who bill to the AmeriCorps grant, including those whose time is billed to the
match for a specified month;
Timesheets for all enrolled AmeriCorps Fellows for a specified period;
Payroll ledger for a specified month;
General Ledger print out with detail of all charges billed to federal and match share, for a specified
month;
Copy of chart of accounts for organization;
Copy of all supporting documentation for expense billed to match or federal share of grant for a
specified month;
Copy of accounting manual;
Copy of employee handbook;
Job descriptions for staff billing to grant; and
Copy of hiring/posting policy.
Other documents which may be reviewed:
Client or volunteer satisfaction surveys;
Time records of staff Fellows who bill their time to either the CNCS or the match side of the grant;
Monthly summary showing the total amount of staff time billed to either the CNCS or match side of the
grant;
Monthly summary showing the total amount billed toward CNCS funds for salaries and benefits versus
the total amount billed toward the sites match for salaries and benefits;
Supporting documents for costs billed to the CNCS or match side of the grant;
Documentation of revenue that is being used to fulfill the match side of the grant.
Pre‐visit review of materials:
Prior to the site visit, it is helpful for Equal Justice Works staff and site staff to review the background
materials listed below. It may also be helpful for the Fellows to review the first three items.
The site’s project proposal
performance measures
The site's progress reports to date
The site's approved budget for the project
Site visit follow‐up
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Shortly after the site visit, usually within two weeks, Equal Justice Works staff will provide the site with a
report of the visit. The report will include observations and assessments of the Fellows, the project, and the
program and fiscal systems to manage the AmeriCorps grant. Finally, staff will provide suggestions for
strengthening the project or grant management systems.
Desk Audits
Equal Justice Works conducts desk audits to ensure that sites are in compliance with AmeriCorps and OMB
requirements. Desk audits are conducted on both a routine and as‐needed basis. All sites will receive at least
one desk audit each three‐year cycle. Equal Justice Works generally conducts desk audits in March each
program year. If selected for a desk audit, sites will be asked to submit these documents to be reviewed by
Equal Justice Works staff:
Member File Components:
Documentation background check was conducted
Documentation that orientation was conducted
Documentation mid‐term evaluation was conducted
Member hour chart with the following information:
o Fellow Enrollment Date
o Hours served as of March 1
o Number of weeks left in term
o Average hours required for timely of completion
o Time records for all AmeriCorps Legal Fellows
Fiscal Documents:
Timesheets for all staff who bill to the AmeriCorps grant, including those whose time is billed to the
match, for a specified month
Payroll ledger for a specified month
General ledger print out with detail of all charges billed to federal and match share for a specified
month
Copy of all supporting documentation for expense billed to match or federal share of grant for a
specified month (i.e. Invoices with approval and copies of each check)
Documentation of revenue that is being used to fulfill the match side of the AmeriCorps Legal
Fellowship grant.
A copy of your organizations accounting manual and/or policies
Data Collection and Evaluation Documents:
Forms used by AmeriCorps Legal Fellows to track progress towards performance measures for a
specified month; and
Client or volunteer satisfaction surveys
Desk audit follow‐up
Shortly after the site visit, usually within one month, Equal Justice Works staff will determine whether costs
are allowable and supported by documentation, forms are complete and in compliance and that financial and
program management systems are in compliance with CNCS and OMB regulations. Specifically, staff will test
to determine that sites comply with AmeriCorps requirements for eligibility, unemployment insurance, and
living allowance payments.
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Equal Justice Works staff will provide the site with a desk audit report. The report will include observations
and assessments of the program and fiscal systems to manage the AmeriCorps grant. Finally, staff will provide
suggestions for strengthening the project or grant management systems.
V. Important Provisions and Policies to Keep in Mind throughout the Program Year
Term of Service: One Year Rule
By CNCS rule, AmeriCorps Members must complete their AmeriCorps service during a period of not less than
nine months and not more than one year from their start date. Equal Justice Works mandates an 11 month
term of service (unless otherwise agreed upon by the site and Equal Justice Works. Sites must define the term
of service (for instance, September 1 to July 31) in the AmeriCorps Legal Fellow Contract. Reaching 1700
service hours does not automatically fulfill the AmeriCorps Legal Fellow Contract, and it does not constitute
the end of a term of service if it occurs before the end date in the contract.
All AmeriCorps Recovery Fellows will serve 12 month terms of service.
Living Allowance
According to the AmeriCorps provisions, AmeriCorps Legal Fellows are entitled to a living allowance as a
benefit of their participation in the program. The living allowance is designed to help Fellows meet the
necessary living expenses incurred while participating in the AmeriCorps program. The amount of this living
allowance is determined each year by the Corporation for National and Community Service. Therefore, the
amount of the allowance may vary from one grant year to another.
Programs must not pay a living allowance on an hourly basis. It is not a wage and should not fluctuate based
on the number of hours an AmeriCorps Legal Fellow serves in a given time period. Programs should instead
pay the living allowance in increments, such as weekly or biweekly through their organization’s payroll.
All AmeriCorps Legal Fellows receive the maximum AmeriCorps living allowance ($22,800 in 2009‐2010). The
living allowance is to be distributed evenly throughout the term of service, regardless of the number of hours
served. For example, a Fellow serving an 11 month term of service with 24 pay periods would receive 1/24th
of $22,800, or $950 per pay, minus withholding. Supplemental benefits such as housing or education
assistance should be paid in a separate check to the Fellow or a third party (see Supplemental Benefits,
below).
As of the 2006‐2007 program year, AmeriCorps prohibits “lump sum” living allowance payments. If an
AmeriCorps Legal Fellow completes her/his 1700 hours of service before the 11 month term expires, any
remaining living allowance that has not been paid out to the Fellow at the time they finish up their service
may not be paid to the Fellow in lieu of fulfilling the complete term of service.
Supplemental Benefits
Equal Justice Works acknowledges that sites incur significant costs to manage an AmeriCorps project. We also
understand how difficult it is to get by financially on the AmeriCorps living allowance. Equal Justice Works
mandates providing supplemental benefits to AmeriCorps Legal Fellows. Payments made to the Fellows are
subject to these rules and restrictions:
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1. Payments to cover living expenses are generally acceptable supplemental benefits, as long as
proper documentation is in place. Examples include housing assistance (payments made to a
mortgage lender or landlord), and loan repayment assistance (for educational or car loans).
2. Supplemental benefits payments made are not considered income by AmeriCorps, but they
must be reported to the IRS and are taxable.
3. Fellows must acknowledge that supplemental benefit payments are not part of the AmeriCorps
living allowance.
4. To receive these payments directly, Fellows must agree to document monthly living expenses
and present proof of payments upon request. Fellows can certify their agreement by using the
Supplemental Benefits Form.
5. Payments may be made to third parties (for instance, to landlords or mortgage lenders) if they
provide supporting documentation to the site for payments.
6. AmeriCorps Recovery Fellows will receive $22,800 in supplemental benefits unless otherwise
negotiated with Equal Justice Works.
Please contact Equal Justice Works staff with specific questions about supplemental benefits.
Early Termination of Term of Service
If an AmeriCorps Legal Fellow leaves his/her host site organization for noncompelling reasons (for example,
dissatisfaction with service activities or another full‐time employment opportunity) before completing their
hours and other service requirements, he/she will forfeit the entire education award. This is a CNCS policy.
An AmeriCorps Legal Fellow who has completed at least 15% of their required hours and leaves the host site
for compelling personal circumstances (see below) will receive a prorated award based on the number of
hours completed.
Compelling Personal Circumstances
Compelling personal circumstances are serious factors beyond the Fellow’s control, such as a Fellow’s serious
injury or illness that makes completing the term impossible; serious injury, illness or death of an immediate
family member that means the Fellow is needed to care for that family member or take over the duties of the
family member; some other circumstance(s) occurs that makes it impossible or very difficult for the Fellow to
complete the term of service and Equal Justice Works deems that circumstance(s) compelling.
Please contact Equal Justice Works with any questions and do not assure an AmeriCorps Legal Fellow of a
prorated award before obtaining approval, as doing so might lead to disappointment on the Fellow’s part.
Employee Displacement
The National and Community Service Trust Act of 1990 states “An employer shall 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 assistance under this subchapter.”
To ensure that AmeriCorps funds are not used to displace paid staff, host sites are required to develop
position descriptions with duties unique to the AmeriCorps positions. Keep in mind that AmeriCorps Legal
Fellows cannot perform activities traditionally reserved for staff, for instance, signing a Fellow’s timesheets
QUESTIONS
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Please refer questions about the policies outlined in this guide to Cole McMahon, Senior Program Manager for
AmeriCorps.
Telephone: 202.466.3686 extension 120
Fax: 202.429.9766
E‐mail: cmcmahon@equaljusticeworks.org
VI. Websites to Know
The following are websites that contain key documents and information you should reference throughout the
program year:
AmeriCorps website (http://www.americorps.gov)
This is the primary website for AmeriCorps. Project Directors will want to pay particular attention to the
section “For Organizations” which includes links to key AmeriCorps forms and information about to manage
current grants and projects.
Using Your AmeriCorps Education Award
(http://www.americorps.gov/for_individuals/current/education_award.asp)
The information contained in this section provides information about the Education Award.
Child Care Info (http://www.naccrra.org)
The information from NACCRRA will help in determining whether a Fellow is eligible for childcare benefits.
Equal Justice Works (http://www.equaljusticeworks.org)
Find information on the activities of Equal Justice Works and tools to help you manage your project.
VII. Equal Justice Works AmeriCorps Site Information and Documentation
SITE FILE FORMS
This section provides information on forms that each site must keep on file throughout the program year. A
sample of each form can be found in the appendix to this guide.
Union Concurrence
AmeriCorps Provisions requires each Equal Justice Works AmeriCorps host site to consult with and obtain
written concurrence from any site‐based unions or non‐site‐based unions whose employees perform similar
work as that to be performed by your AmeriCorps Legal Fellows in the same community. Please complete this
form at the outset of the program year and keep it in your AmeriCorps files.
Criminal Reference Check
AmeriCorps Provisions require programs with Fellows who have substantial direct contact with children (as
defined by state law) or who perform service in the homes of children or other vulnerable individuals to
conduct criminal reference checks on these Fellows as part of the screening process. Please complete this
form at the outset of the program year and keep it in your AmeriCorps files. If you determine that this
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provision applies to your project, please maintain documentation that the required criminal reference checks
were conducted in your files.
Fellow Safety Certification
AmeriCorps Provision, (C)(29) requires programs to institute safeguards as necessary and appropriate to
ensure the safety of Fellows. Furthermore, it prohibits sites from forcing Fellows to participate in projects that
pose undue safety risks. Please complete this certification form at the outset of the program year and keep it
in your files.
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Union Concurrence Form
Organizations sponsoring project sites are required to consult with and obtain written concurrence from any
site-based unions or non-site-based unions whose employees perform similar work as that to be performed by
your AmeriCorps Legal Fellows in the same community. The requirements are as follows:
National and Community Service Act of 1990 (42 USC § 12582(f)(1)):
In the case of a program applicant that proposes to also serve as the service sponsor, the application shall
include the written concurrence of any local labor organization representing employees of the service
sponsor who are engaged in the same or substantially similar work as that proposed to be carried out.
“b. Labor Union Concurrence. Prior to the placement of Equal Justice Works AmeriCorps Legal
Fellow, the Grantee must consult with local labor organizations representing employees of project
sponsors or representing employees in the area to be served by the Program. This includes people
engaged in the same or similar work as that proposed to be carried out by the Program, and is required to
ensure compliance with the non-displacement requirements contained in these Grant Provisions.”
It is our judgment that this provision applies to our AmeriCorps project and/or Fellows
and employees who work on the project. We have consulted with and have obtained
written concurrence from local union(s) in the area to be served by our project whose
employees perform the same or substantially similar work as that to be performed by our
Fellows in the same community. We have attached a copy of that concurrence.
It is our judgment that this provision does not apply to our AmeriCorps project and/or
Fellows and employees who work on the project.
(Please explain briefly):
Project Director Name: __________________________________________________________
Project Director Signature: _______________________________________________________
Project Site: _______________________________________ Date: __________________
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Enrolling an AmeriCorps Legal Fellow
Date Completed Steps To Enrolling A Fellow:
Completed By
1. Determine Prior AmeriCorps Service - Under no circumstances
will an individual be eligible for more than two education
awards. Incomplete terms may count as one of an individual’s
two allotted terms.
2. Inform Equal Justice Works that the Fellow has agreed to serve,
and submit their resume.
3. Have AmeriCorps Fellow complete the Enrollment Form. Send
copy to EJW.
4. On the first day of the term, all parties must sign the
AmeriCorps Fellow Contract (including Position Description).
Send copy to EJW.
5. Complete Proof of AmeriCorps Eligibility Form and collect
supporting documentation. Send copies to EJW.
6. Conduct a Background Check (even if serving a second term).
At minimum, check the state criminal history registry for both
your state and the state where the applicant lived at the time of
application.
Search the online DOJ National Sexual Offender Registry.
7. Complete a Loan Forbearance Request Form and send it to
Equal Justice Works for submission to the Trust. (Fellow’s
discretion) Send copy to EJW.
8. Enroll Fellow in a health care insurance plan, or get verification
that they declined coverage. Send copy to EJW.
9. Keep signed W-4 Form on record.
10. Fill out emergency notification form.
11. Conduct Site Orientation (and track training hours on
timesheet).
12. Have Fellow complete Entrance Survey (even if serving second
term).
13. Submit all of the paperwork above (with this completed
form) to Equal Justice Works within 10 days! Equal Justice
Works will enter Enrollment data into the My AmeriCorps Portal
upon receipt.
14. Have Fellow register in the My AmeriCorps portal:
https://my.americorps.gov/mp/login.do
15. Create workplan with Fellow. Send copy to EJW.
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Proof of AmeriCorps Eligibility Form
1. AmeriCorps Legal Fellow Information and Verification (to be completed and signed by the Fellow)
Name: _________________________ ______________________ _______ _________
Last First MI Birth Name
Address: _______________________ ______________________ _______ _________
Street City State Zip
Date of Birth (MMDD/YYYY) ____ / ____ / ____ Social Security Number________________
A. I ___ have / ___ have not previously served in an AmeriCorps program.
If so, please list program(s) and dates/number of terms served______________________
B. I attest that I am a (check a box):
U.S. Citizen
U.S. National
Lawful permanent resident alien of the United States
(Note: individuals who are in the U.S. on a tourist, student, or work visa are not eligible to become AmeriCorps Fellows)
Signature ______________________________ Date (MM/DD/YYYY) ____ / ____ / ____
2. Program Site Review and Verification Please attach a copy of one document from this list and check the appropriate box:
Unexpired U.S. passport issued to an individual as a U.S. citizen
Birth certificate showing that the individual was born in one of the 50 states, the District of
Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, or the Northern Mariana
Islands
Report of Birth Abroad of a Citizen of the United States (U.S. Dept. of State Form FS-240)
Certificate of birth – foreign service (U.S. Dept. of State Form FS-545)
Certification of Report of Birth (U.S. Dept. of State Form DS-1350)
Permanent Resident Card or Alien Registration Receipt Card (INS Form I-551)
Unexpired passport including that the INS has approved it as temporary evidence of lawful
admission for permanent residence
Departure record indicating that the INS has approved it as temporary evidence of lawful
admission for permanent residence (INS Form I-94)
INS form showing naturalization/citizenship being granted
□ N-560 □ N-560 □ N-550 □ N-570
(Please note: Student visas, work visas, and/or social security cards are insufficient to show eligibility.)
Certification (site will provide upon review of the supporting documentation):
I have examined the attached documentation, and it appears to be genuine and to relate to the individual
named. The individual to the best of my knowledge is eligible to be an AmeriCorps Fellow.
Signature ________________________ Date (MM/DD/YYYY) _____ / _____ / _____
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***SAMPLE***
Equal Justice Works
AmeriCorps Legal Fellow Contract
[SITE LETTERHEAD]
CONTRACT OF PARTICIPATION IN THE AMERICORPS PROGRAM
AT [SITE NAME]
I. Purpose
It is the purpose of this AmeriCorps Contract (the “Contract”) between [name of individual AmeriCorps
Fellow] (the “AmeriCorps Fellow”) and [name of host site] (the “Host site”) and with the approval of Equal
Justice Works, to delineate the terms, conditions and rules of participation of the AmeriCorps Fellow in the
Equal Justice Works AmeriCorps Program (the “Program”).
II. Minimum Qualifications
(A) The AmeriCorps Fellow is not considered to be an employee of the Host site or Equal Justice
Works and, except for any benefits that may accrue to the AmeriCorps Fellow from the Host
site under the Family and Medical Leave Act, is not entitled to benefits and privileges accorded
to employees of the Host site or Equal Justice Works.
(B) The AmeriCorps Fellow certifies that s/he is a United States citizen, a national, or a legal
permanent resident, and is at least 17 years of age. The AmeriCorps Fellow also certifies that
s/he has a high school diploma or an equivalency certificate.
(C) The AmeriCorps Fellow certifies that s/he has received a law degree from [insert name of law
school].
III. Terms and Requirements of Service
(A) The AmeriCorps Fellow’s term of service will begin on [AmeriCorps Fellow’s start date] and end
on [include date that is 11 or 12 months from start date]. The Host site and the AmeriCorps
Fellow may agree, in writing, to extend this term of service for the following reasons:
(1) The AmeriCorps Fellow’s service has been suspended due to compelling personal
circumstances as defined by current AmeriCorps regulations.
(2) The AmeriCorps Fellow’s service has been terminated, but a grievance procedure has
resulted in reinstatement.
(B) The AmeriCorps Fellow understands that s/he will serve in a full‐time capacity as defined by the
Host site, for the duration of the term of service. The AmeriCorps Fellow understands that
holidays, sick leave and vacation leave are subject to the approval and policies of the Host site.
25
The AmeriCorps Fellow further understands that in order to successfully complete the term of
service and be eligible for the education award s/he must perform at least 1700 hours of
service and satisfactorily complete pre‐service training and the appropriate education/training
that relates to the AmeriCorps Fellow’s ability to perform service. The AmeriCorps Fellow
understands that completion of 1700 hours of service alone does not constitute the end of
his/her term of service.
(C) The AmeriCorps Fellow understands that in order to be eligible for serving a second AmeriCorps
term of service, the AmeriCorps Fellow must receive satisfactory performance reviews for any
previous term of service. The AmeriCorps Fellow’s eligibility for a second term of service will be
based on at least a mid‐term and an end‐of‐term evaluation of the AmeriCorps Fellow’s
performance, focusing on factors such as whether the AmeriCorps Fellow has:
(1) Completed the required number of hours;
(2) Satisfactorily completed assignments, tasks or projects, and
(3) Met any other criteria that were clearly communicated both orally and in writing at the
beginning of the term of service
(D) The AmeriCorps Fellow understands, however, that mere eligibility for an additional term of
service does not guarantee selection or placement.
IV. Position Description
[In this section, the Host site should include (or incorporate by reference ‐ in which case, attach
description) the position description for the individual AmeriCorps Fellow to whom the contract
applies. The position description should specify the types of duties, service activities, and
assignments the AmeriCorps Fellow will be expected to complete. ]
V. Benefits
(A) The Host site will provide the AmeriCorps Fellow with the following benefits:
(1) A living allowance of $22,800. The AmeriCorps Fellow understands that the living
allowance is taxable.
(2) Health care insurance, if the AmeriCorps Fellow qualifies for coverage. (The health
insurance policy is attached.)
(3) A child care allowance to be provided directly to the provider, if the AmeriCorps Fellow
qualifies for the allowance and the National Association of Child Care Resource and
Referral Agencies, which contracts with the Corporation for National Service to oversee
child care benefits for AmeriCorps Fellows, approves this AmeriCorps Fellow’s eligibility
and application.
(4) Supplemental benefits in the amount of [insert dollar amount] per [month or per term
of service]. See attached supplemental benefits authorization form.
(B) Upon successful completion of the AmeriCorps Fellow’s term of service, the AmeriCorps Fellow
will receive an education award of $4,725 from the National Service Trust. This award is limited
to payment on outstanding qualified student loans or future tuition and education costs. The
AmeriCorps Fellow understands that his/her failure to disclose to the Host site any history of
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having been released for cause from another AmeriCorps program will render the AmeriCorps
Fellow ineligible to receive the education award. The AmeriCorps Fellow understands that this
payment is taxable in the year it is issued.
(C) If the AmeriCorps Fellow has received forbearance on a qualified student loan during the term
of service, and the AmeriCorps Fellow successfully completes the term of service, the National
Service Trust will repay any interest that accrued on the loan during the term of service. The
AmeriCorps Fellow understands that this payment is taxable in the year it is issued.
(D) The AmeriCorps Fellow will receive [detail any other benefits provided by the site ‐‐ local
travel expenses, professional development, etc.].
VI. Rules of Conduct
(A) The AmeriCorps Fellow is expected to, at all times while acting in an official capacity as an
AmeriCorps Legal Fellow:
(1) Demonstrate mutual respect, professionalism, honesty and courtesy to others at all
times;
(2) Follow directions of her/his supervisor;
(3) Comply with Host site’s policies and procedures and the Code of Professional
Responsibility;
(4) Comply with AmeriCorps policies and procedures;
(5) Direct concerns, problems and suggestions to her/his supervisor or the appropriate
Host site official in a timely manner; and
(6) Satisfactorily complete assignments, tasks and projects.
(B) At no time may the AmeriCorps Fellow:
(1) Engage in any activity that is illegal under local, state or federal law;
(2) Engage in activities that pose a significant safety risk to others or which adversely
affects the Host site; and
(3) Engage in any AmeriCorps prohibited activities as defined by current AmeriCorps
regulations, including: proselytizing or assisting religious organizations, attempting to
influence legislation or an election or aid a partisan political organization, helping or
hindering union activity, or aiding a business organized for profit.
(C) The AmeriCorps Fellow understands that the following acts will also constitute a violation of the
Host site’s rule of conduct:
(1) Repeated absenteeism or tardiness;
(2) Repeated use of inappropriate language (i.e., profanity);
(3) Failure to wear appropriate attire to service assignments;
(4) Stealing or lying;
(5) Activity that may physically or emotionally damages others;
(6) Possession or using illegal drugs during the term of service;
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(7) Consumption of alcoholic beverages during the performance of services or in such a
manner that will adversely affect performance, or being under the influence of
alcohol or any illegal drugs during the performance of service activities; or
(8) Failure to notify the Host site immediately of any criminal arrest or conviction that
occurs during the term of service as required by the Drug‐Free Workplace Act
(hereinafter “DFWA”).
VII. Progressive Discipline, Release and Suspension
(A) Except where immediate release or suspension of the AmeriCorps Fellow is mandatory, as
outlined in Section D below, or in the event of extraordinary circumstances, the Host site will
engage in progressive discipline for violations of the Rules of Conduct before releasing or
suspending the AmeriCorps Fellow. The following sequence is suggested but not required:
(1) For the first offense, an appropriate Host site officer will issue a verbal warning to the
AmeriCorps Fellow.
(2) For the second offense, an appropriate Host site officer will issue a written warning
and reprimand to the AmeriCorps Fellow.
(3) For the third offense, the AmeriCorps Fellow may be suspended for one day or more
without compensation.
(4) For the fourth offense, may release the AmeriCorps Fellow for cause.
(B) The AmeriCorps Fellow can, however, be terminated or suspended from the host site “for
cause.” “For cause” circumstances that may, in the discretion of the Host site, result in the
release of an AmeriCorps Fellow include:
(1) Conduct that undermines the effectiveness of the Host site or the project to which
s/he is assigned; or
(2) Conduct that demonstrates inappropriate behavior or misconduct.
(C) “For cause” circumstances that may, in the discretion of the Host site, result in the suspension
of a AmeriCorps Fellow include:
(1) If during the term of service the AmeriCorps Fellow has been charged with a violent
felony or sale or distribution of a controlled substance. If the AmeriCorps Fellow is
found not guilty or the charge is dismissed, the AmeriCorps Fellow will be permitted
to resume his/her term of service but will not receive back living allowances or credit
for any service hours missed; or
(2) If during the term of service, the AmeriCorps Fellow has been convicted of a first
offense of possession of a controlled substance. If the AmeriCorps Fellow
demonstrates that she/he has enrolled in any approved drug rehabilitation program,
the AmeriCorps Fellow will be permitted to resume his/her term but will not receive
back living allowances or credit for any service missed.
(D) “For cause” circumstances that will result in the release or suspension of the AmeriCorps Fellow
from service include:
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(1) If the AmeriCorps Fellow has been convicted of a felony or has been convicted of the
sale or distribution of a controlled substance or illegal drug;
(2) If the AmeriCorps Fellow has dropped out of the Program without obtaining a release
for compelling personal circumstances from the appropriate Host site official;
(3) If the AmeriCorps Fellow has committed any of the offenses listed in paragraph (C) 5‐
8 of Section VI of this Contract; or
(4) Any other serious breach of the Contract that in the judgment of the Host site
warrants dismissal.
(E) Upon the AmeriCorps Fellow’s Request, the Host site or Program may release or suspend the
AmeriCorps Fellow from service, due to compelling personal circumstances, if the AmeriCorps
Fellow demonstrates that:
(1) S/he has a disability or serious illness that makes completing the term impossible;
(2) There is a serious injury, illness or death of an immediate family AmeriCorps Fellow
which makes completing the term unreasonably difficult or impossible for the
AmeriCorps Fellow;
(3) S/he has Military service obligations;
(4) S/he has accepted an opportunity to make the transition from welfare to work; or
(5) Some other unforeseeable circumstance(s) beyond the AmeriCorps Fellow’s control
makes it impossible or unreasonably difficult for the AmeriCorps Fellow to complete the
term of service, such as a natural disaster, a strike, relocation of a spouse, or the
nonrenewal or premature closing of a project or the Host site, and the Host site or
Program deems that circumstance(s) to be compelling.
(F) Compelling circumstances do not include leaving the Host site:
(1) To enroll in school;
(2) To obtain employment, other than in moving from welfare to work;
(3) Because of dissatisfaction with the Host site.
(G) If the AmeriCorps Fellow discontinues her/his term of service for any reason other than a
release for compelling personal circumstances as described in paragraph (E) above, the
AmeriCorps Fellow will cease to receive the benefits described in paragraph (A) of Section V
above and will receive no portion of the education award or interest payments.
(H) If the AmeriCorps Fellow discontinues her/his term of service due to compelling personal
circumstances as described in paragraph (C) above, the AmeriCorps Fellow will cease to receive
benefits described in Section V above. If, however, the AmeriCorps Fellow has completed at
least 15 percent of the required service hours, the AmeriCorps Fellow will receive a pro‐rated
portion of the education award or interest payments described in paragraphs (B) and (C) of
Section V above.
VIII. Grievance Procedures
(A) The AmeriCorps Fellow understands that the Host site has a grievance procedure to resolve
disputes concerning the AmeriCorps Fellow’s suspension, dismissal, service evaluation or
proposed service assignment;
29
(B) The AmeriCorps Fellow understands that s/he may file a grievance in accordance with the Host
site’s grievance procedure, which is set forth in a separate document and hereto attached
[attach grievance procedure].
IX. Amendments to this Agreement
This agreement may be changed or revised by written consent of both parties and with the approval of
Equal Justice Works.
X. Authorization
The AmeriCorps Fellow and Host site hereby acknowledge by their signatures that they have read,
understand, and agree to all terms and conditions of this agreement.
AmeriCorps Legal Fellow (Please Print) Host site (Please Print)
______________________________ ____________________________
Signature of AmeriCorps Fellow Signature of Executive Director
______________________________ ____________________________
Date __________________________ Date ___________________________
Seen and Agreed to:
Equal Justice Works
Name (Please Print)
______________________________
Signature of Senior Program Manager:
______________________________ Date ___________________________
30
Supplemental Benefits Authorization Form
Host Site] will supplement the AmeriCorps Living Allowance with monthly payments as reimbursements for cost of living
expenses (“supplemental benefits”) for the duration of the term of service. At the end of each calendar year, the
AmeriCorps Fellow will receive an IRS Form W2 or 1099 reporting the benefits received during the year. Most 1099
income is considered taxable by the IRS; whether the AmeriCorps Fellow will owe federal income taxes on these
amounts will depend on the tax rules in effect at the time, the character of the amounts received and each Fellow’s
individual circumstances.
To receive supplemental benefits, the Fellow must certify that the benefit will be used to pay for living expenses,
including housing, education debt, transportation, insurance, etc. [Host site] will provide a monthly supplemental
benefit of [amount here] to [name of Fellow].
Itemized expenses to be to be paid for with the supplemental benefit (types and amounts):
Supplemental Benefits Distribution
Type Lender or Payee Monthly Amount
Housing
Student loans
Transportation
Insurance
IRS payments
Other:
Other:
Total
Certification:
I understand that the supplemental benefits I receive as compensation as an AmeriCorps Legal Fellow are subject to
Federal and State taxation. Further, I understand that these payments are not considered AmeriCorps Living Allowance.
I agree to provide supporting documentation (e.g. proof of payment or receipts) upon request for these payments.
AmeriCorps Fellow Signature Date
Host site Signature Date
Please contact Equal Justice Works staff with specific questions about supplemental benefits.
31
Model Grievance Procedure
(For AmeriCorps*State National Programs)
[This model is provided to programs as a guide only, and combines provisions that are required by law with
optional elements.]
In the event that informal efforts to resolve disputes are unsuccessful, AmeriCorps Fellows, labor
unions, and other interested individuals may seek resolution through the following grievance
procedures. These procedures are intended to apply to service-related issues, such as assignments,
evaluations, suspension, or release for cause. In addition, individuals who are not selected as
AmeriCorps Fellows or labor unions alleging displacement of employees or duplication of activities
by AmeriCorps may utilize these procedures.
A. Optional Alternative Dispute Resolution (ADR)
[The program may choose to include ADR in its grievance as a first option for an aggrieved party. ADR
includes mediation or conciliation. This section assumes that the program has chosen to make ADR available.]
ADR is available, but must be selected within 45 days of the underlying dispute. If a Fellow chooses
ADR as a first option, a neutral party designated by the program will attempt to facilitate a mutually
agreeable resolution. The neutral party must not have participated in any previous decisions
concerning the issue in dispute. ADR is confidential, non-binding, and informal. No
communications or proceedings of ADR may be referred to at the grievance hearing or arbitration
stages. The neutral party may not participate in subsequent proceedings.
If ADR is chosen by the Fellow, the deadlines for convening a hearing and of a hearing decision, 30
and 60 days respectively, are held in abeyance until the conclusion of ADR. At the initial session of
ADR, the neutral party must provide written notice to the aggrieved party of his or her right to
request a hearing. If ADR does not resolve the matter within 30 calendar days, the neutral party
must again notify the aggrieved party of his or her right to request a hearing. At any time, the
aggrieved party may decline ADR and proceed directly to the hearing process.
B. Grievance Hearing
A Fellow may request a grievance hearing without participating in ADR or, if ADR is selected, if it
fails to facilitate a mutually agreeable resolution. The Fellow should make a written request for a
hearing to (the designated program supervisor or director). A request for a hearing must be made
within one year after the date of the alleged occurrence. At the time a request for a hearing is made,
32
the program should make available to the Fellow information that it relied upon in its disciplinary
decision.
The program will arrange for one or more pre-hearing conferences at a time mutually convenient to
the parties. Pre-hearing conferences are not a substitute for a hearing. They are intended to facilitate
a mutually agreeable resolution of the matter to make a hearing unnecessary or to narrow the issues
to be decided at the hearing. The format of the pre-hearing conference may be flexible, involving
meetings with one party at a time and/or with both parties together. Pre-hearing conferences are
conducted by [program supervisor/director A].
The hearing will be conducted by [program supervisor/director B]. The person conducting the
hearing may not have participated in any previous decisions concerning the issue in dispute. (Note:
To ensure impartiality in the hearing, programs may choose to designate someone other than the
program director to approve disciplinary actions regarding Fellows, leaving the director available to
conduct grievance hearings.) A hearing must be held no later than 30 calendar days after the filing of
the grievance, and a written decision must be made no later than 60 calendar days after filing.
C. Binding Arbitration
An aggrieved party may request binding arbitration if a grievance hearing decision is adverse or if no
decision is made within 60 days of the filing of the grievance. The arbitrator must be independent
and selected by agreement of the parties. If the parties cannot agree on an arbitrator, the
Corporation’s Chief Executive Officer will appoint one within 15 calendar days after receiving a
request from one of the parties.
An arbitration proceeding will be held no later than 45 calendar days after the request for arbitration,
or no later than 30 calendar days after the appointment of an arbitrator by the Corporation’s CEO.
An arbitration decision will be made no later than 30 calendar days after the commencement of the
arbitration proceeding.
The cost of arbitration will be divided evenly between the parties, unless the aggrieved party
prevails, in which case the program will pay the total cost of the proceeding as well as the prevailing
party’s attorneys’ fees.
33
AmeriCorps Legal Fellow Publicity Release Form
_____________________________________________________________________________
Equal Justice Works is given my consent to:
(PLEASE CHECK THE PROPER BOX)
[ ] use and publish pictures or photographic likenesses, in whole or in part, of (FELLOW
NAME) _______________________________, for the purposes of advertising and promoting Equal
Justice Works This information may be used or published through any medium, including the
Internet.
[ ] use his/her name for the purposes of advertising and promoting Equal Justice Works.
This information may be used or published through any medium, including the Internet.
[ ] use his/her statement (s) for the purposes of advertising and promoting Equal Justice
Works. This information may be used or published through any medium, including the Internet.
Any right to inspect or approve the finished product or the advertising or other copy of the
designated material is waived.
Equal Justice Works and all persons acting under the direct permission or authority of Equal Justice
Works are released from any liability that may arise out of the use of the portraits, photographic
likenesses, name, and/or statements if used for the purposes of advertising and promoting Equal
Justice Works.
FELLOW NAME: __________________________________________________
FELLOW SIGNATURE: ____________________________________________
DATE: _______________
Keep this form in the Fellow’s file.
34
Exiting an AmeriCorps Legal Fellow
Date Completed Steps To Exiting an AmeriCorps Fellow:
Completed By
1. Have AmeriCorps Fellow complete End of
Term survey which will be emailed to the
Fellow 30 days before s/he end of term.
2. Make sure they register for the Equal Justice
Works alumni directory.
3. Conduct end of term evaluation with the
Fellow.
4. Ensure that the Fellow’s accomplishments and
great stories are on file for the preparation of
the Annual Progress Report.
5. Be sure all of the AmeriCorps Fellow’s
timesheets are completed, signed, and add up
to more than 1,700 hours.
6. Submit the Equal Justice Works AmeriCorps
End of Term Form (including hours served) to
Equal Justice Works no later than 10 days
after an AmeriCorps Fellow finishes the
term.
7. Provide Fellow with Education Award guidance
8. If the AmeriCorps Fellow put his/her loans into
forbearance, s/he may also be eligible for an
interest accrual payment. S/he will need to
complete the Interest Accrual Form which is
located on the My AmeriCorps Portal. This
must be done within 90 days.
35
*This form is for sample purposes only. To download the official form, go to the
AmeriCorps website at: http://www.americorps.gov/for_organizations/tta/forms.asp.
36
*This form is for sample purposes only. To download the official form, go to the
AmeriCorps website at: http://www.americorps.gov/for_organizations/tta/forms.asp.
37
Fellow Enrollment & Exiting Procedures
How to Enroll a New Fellow
There are certain steps a site must take once a candidate has been selected. To ensure a smooth
enrollment process Equal Justice Works request that you use and complete the attached AmeriCorps
Legal Fellow Checklist and submit it to Equal Justice Works along with the remaining enrollment
paperwork.
1. Check records to be sure your site has an open slot for the prospective Fellow. An individual
who plans to serve at least 1700 hours should be enrolled as a full-time Fellow.
a. Length of Term of Service: A full-time Fellow must serve at least 1700 hours in no less
than 9 months and no more than 1 year.
b. Impact of Prior Service: It is imperative that sites ask candidates whether they have
previously served in an AmeriCorps program. The maximum for the AmeriCorps
Fellowship is two terms (part-time or full-time). However, prior service terms in an
AmeriCorps program may preclude an individual from participating. Under no
circumstances will an individual be eligible for more than 2 education awards.
Incomplete terms may count as one of an individual’s two allotted terms. See the
Program Director’s Handbook and the AmeriCorps Provisions for further information,
and contact Equal Justice Works with any questions.
2. Notify Equal Justice Works AmeriCorps staff of your intention to enroll a new Fellow.
Find a copy of the Enrollment Form and have the Fellow complete it. The information from
the Enrollment Form must be inputted into the Fellow’s file in My AmeriCorps Portal by site
staff as well as kept in hardcopy form on-site. A copy of the enrollment form can be found in
this guide or on The Corporation for National and Community Service’s homepage
(http://www.nationalservice.gov/for_organizations/tta/forms.asp).
3. Host Site/Fellow should complete the following documents and store them in an individual
Fellow file on-site:
AmeriCorps Legal Fellow Enrollment Checklist
Enrollment Form
Proof of Eligibility Form (with proper documentation)
W-4
Fellow Contract
4. Encourage the Fellow to fill out a Federal Education Loan Forbearance Request Form if the
Fellow has qualified loans. Fellows can access this form electronically once they created a
profile on http://my.americorps.gov. Fellows and Host Site Staff should keep a copy for
record keeping purposes.
38
5. Complete a Fellow Profile and Enrollment Form in The Portal within 30 days of the Fellow’s
start date. Save both as “Complete - Awaiting Approval.” Then contact Equal Justice Works
AmeriCorps staff that the documents are ready to be reviewed and approved.
6. Keep accurate time logs throughout the Fellow’s term of service, both on paper and in The
Portal.
How to Exit a Fellow
1. Find a copy of the Exit Forms and have the Fellow complete it. The information from the Exit
Form must be inputted into the Fellow’s file in The Portal by site staff as well as kept in
hardcopy form on-site. A copy of the exit form can be found in this guide or on Equal Justice
Works website
(http://www.equaljusticeworks.org/communities/participants/americorps/forms).
2. Once the forms have been approved, the National Service Trust will deposit the Fellow’s
education award into their individual profile on http://my.americorps.gov.
3. If the Fellow put his/her loans into forbearance, the Fellow may also be eligible for an interest
accrual payment. S/He will need to complete the Interest Accrual Form which is available in
this guide or on the AmeriCorps website at:
http://www.americorps.gov/for_organizations/tta/forms.asp. There is also an electronic
version located on the Fellow’s individual profiles on The Portal. Once the Fellow has
completed the form he/she must submit it their lender and the lender must submit it to CNCS.
CNCS will calculate the amount of interest that has accrued over the course of the Fellow’s
service and pay the interest on the loans that were put into forbearance. This must be done
within 90 days.
39
*This form is for sample purposes only. To download the official form, go to the Corporation for
National and Community Service’s website at:
http://www.americorps.gov/for_organizations/tta/forms.asp.
40
41
42
Equal Justice Works
AmeriCorps Legal Fellow
Exit Form
This form completes the term of an AmeriCorps member in the National Service Trust and reports on the eligibility
of the member for an AmeriCorps Segal Education Award. It will also provide the Corporation with evaluation exit data.
All exit paperwork must be submitted to Equal Justice Works within 10 days of the completion of the Fellow’s
term of service. Please be sure to keep a copy of your exit materials for your files.
Name _________________________________ _________________________ ________
Last First MI
Social Security Number __________________________________________________________
Host Organization _______________________________________________________________
Name of Supervisor ______________________________________________________________
Mailing Address (Personal address where info about your Education Award will be sent)
_______________________________________________________________________________
Number and Street
_______________________________________________________________________________
City, State, ZIP
_______________________________________________________________________________
E-Mail Address
______________________________________ _____________________________________
Home Phone Cell Phone
The Corporation for National and Community Service would like to encourage you to stay involved in service
and help you connect with educational, professional and alumni opportunities. If you are interested in staying
connected with the following organizations, please let us know.
YES, I give the Corporation for National and Community Service permission to release my name,
address (including email) and telephone number to the following types of organizations:
Educational institutions that are interested in recruiting former AmeriCorps members or that provide
special programs for former members;
Organizations offering professional development opportunities or staff positions to AmeriCorps
members;
AmeriCorps Alumni organizations; and
Organizations that sponsor service opportunities and want to recruit AmeriCorps members.
I am particularly interested in the following issue areas (please mark all that apply):
Education Public Safety Housing Environment Health
Disaster Relief Homeland Security Faith and Community Based
NO, please do not share my information with other organizations.
Please sign below.
AmeriCorps Fellow Name ________________________________________________________
Signature _______________________________________________ Date _______________
43
Equal Justice Works
AmeriCorps Legal Fellow
Exit Form
Certification of Non-participation in Activities Prohibited Under AmeriCorps
Member and supervisor must sign below to acknowledge that the member did not engage in the
prohibited activities listed below during service hours.
Pursuant to CNCS regulations, 45 CFR 2520.30, members of AmeriCorps programs are prohibited from performing
certain activities in the course of their duties, at the request of program staff or in a manner that would be associated with
the activities of the AmeriCorps program or CNCS. These activities include:
a. Attempting to influence legislation.
b. Organizing or engaging in protests, petitions, boycotts or strikes.
c. Assisting, promoting or deterring union organizing.
d. Impairing existing contracts for services or collective bargaining agreements.
e. Engaging in partisan political activities or other activities designed to influence the outcome of an election to any
public office.
f. Participating in, or endorsing, events or activities that are likely to include advocacy for or against political parties,
political platforms, political candidates, proposed legislation or elected officials.
g. Engaging in religious instruction, conducting worship services, or engaging in any form of religious proselytization.
h. Providing a direct benefit to:
v. A for-profit entity;
ii. A labor union;
iii. A partisan political organization;
iv. An organization engaged in the religious activities described in the preceding sub-clause, unless grant funds
are not used to support the religious activities; or
v. A nonprofit entity that fails to comply with the restrictions contained in section 501© (3) of U.S. Code Title 26.
i. Voter registration drives by AmeriCorps members is an unacceptable service activity. In addition, Corporation
funds may not be used to conduct a voter registration drive.
j. Other activities as the Corporation determines will be prohibited, upon notice to the Grantee.
Individuals may exercise their rights as private citizens and may participate in the above activities on their initiative, on
non-AmeriCorps time and using non-Corporation funds. The AmeriCorps logo should not be worn while doing so.
By signing below, the Equal Justice Works AmeriCorps Legal Fellow and host organization supervisor certify that the
Fellow did not take part in any of the above prohibited activities throughout the course of her or his service.
Certification of Evaluation
The Equal Justice Works AmeriCorps Legal Fellow did not engage in any of the above prohibited activities. The member
also:
Completed the required number of hours;
Satisfactorily completed assignments;
Certification of completion of one Mid-Year Evaluation and End of Year Evaluation;
Met other performance criteria that were clearly communicated at the beginning of the term of service.
Host Organization _____________________________________________
Supervisor Name (Print) ________________________________________
Supervisor Signature __________________________________________ Date _____________
Fellow Name (Print) ___________________________________________
Fellow Signature ______________________________________________ Date _____________
44
Equal Justice Works
AmeriCorps Legal Fellow
Exit Form
Exit information should be electronically submitted to the Corporation within 30 days of completion of service.
This section must be signed by an authorized certifying official. The program must designate certifying officials
electronically to the Corporation for National and Community Service.
Start Date of Term of Service
Month _____________________ Day _____________________ Year ____________________
Date of Completion of Term of Service
Month _____________________ Day _____________________ Year ____________________
Please insert total number of hours served, put N/A for months that the Fellow did not serve.
Number of Number of Monthly
Month Training Hours Service Hours Totals
August-08
September-08
October-08
November-08
December-08
January-09
February-09
March-09
April-09
May-09
June-09
July-09
August-09
September-09
October-09
November-09
December-09
Total Hours Training ________ Service _______ Total _________
Fellow Name (Print) ___________________________________________
Fellow Signature ______________________________________________ Date _____________
Supervisor Name (Print) ________________________________________
Supervisor signature ___________________________________________ Date _____________
45
AmeriCorps Legal Fellow
Exit Form
Type of Enrollment
(Mark only one.)
Full-time (1700 hours per year or 365 days for VISTA)
Half-time (900 hours in up to 2 years)
Reduced half-time (675 hours)
Quarter time (450 hours)
Minimum time/Summer (300 hours)
Education Award Status:
Indicate whether or not the Fellow is eligible for an education award. Please be sure to follow the
Corporation's regulations in making this selection. If the Fellow is going to serve another term under the
National Service Trust, a new National Service Enrollment Form must be completed.
Eligible for entire education award (member successfully completed service)
Eligible for partial education award (member did not fully complete service for compelling personal
reasons)
Not eligible for education award (member did not fully complete service requirements)
Not eligible for education award (member chose alternative benefit)
Not eligible for education award. Other (Specify):
Did the member perform satisfactorily (complete all assignments, tasks, and projects)
Yes No
Certification of Service
To the best of my knowledge and belief, the time the above-listed member reported as AmeriCorps service
hours did not include any service activities prohibited by law, regulation, or grant provision.
I certify that the Hours of Service Performed indicated on this form for this AmeriCorps Fellow are true and
accurate.
________________________________________ _______________________
Signature of Certifying Official (Not the Fellow): Date:
________________________________________
Name of Certifying Official (Please Print):
I understand that a knowing and willful false statement on this form can be punished by a fine or imprisonment
or both under Section 1001of Title 18, U.S.C.
46
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