FRYSC Youth Service Corps Site Application 2017 – Deadline: May 1, 2017 Please inform FRYSC Corps immediately if you must change or withdraw this request. FRYSC Site Name: Center Name FRYSC Physical Address: Physical Address Mailing Address City ST Zip Code FRYSC Mailing Address (if different): FRYSC phone: Center Phone Fax: Center Fax Contact Email Primary Contact Email: School Name District School Name and District: FRYSC Coordinator: Coordinator Name Principal: Principal Name Superintendent: Superintendent Name Will the FRYSC coordinator listed above act as the supervisor for this position? Yes No Supervisor Name Name of intended site supervisor: Supervisor Title Position: School Progress Designations (mark all that apply) School Classification: Distinguished Proficient Needs improvement Progressing School Improvement: School of Distinction High Performing School of Innovation High Progress Progressing Priority Focus below to indicate your ability to meet the following requirements: Service members must pass a fingerprint check through the KY State Police. Will you help Yes your student applicant obtain prints BEFORE September 1 and send the card to FRYSC No Corps for processing? FRYSC Corps requires that all Youth Service Members attend orientation. Will you help Yes your applicant travel to this regional orientation? No How many Frysc Youth Service Corps members do you request? # of positions Slots are limited and your full request may not be possible to fulfill requested Members must complete 300 hours of service from September 1 to the end of the school year. About 8 hours each week. Service outside regular school hours is highly encouraged. Describe how your applicant selection process will promote career exploration & development.
FRYSC Youth Service Corps Site Application – 2017 Deadline: May 1, 2017 Please inform FRYSC Corps immediately if you must change or withdraw this request. FRYSC Site Name: Center Name FRYSC Physical Address: Physical Address FRYSC Mailing Address (if different): Mailing Address City ST Zip Code FRYSC phone: Center Phone Fax: Center Fax Primary Contact Email: Contact Email School Name and District: School Name District FRYSC Coordinator: Coordinator Name Principal: Principal Name Superintendent: Superintendent Name Will the FRYSC coordinator listed above act as the supervisor for this position? Yes No Name of intended site supervisor: Supervisor Name Position: Supervisor Title School Progress Designations (mark all that apply) School Classification: Distinguished Proficient Needs improvement Progressing School Improvement: School of Distinction High Performing School of Innovation High Progress Progressing Priority Focus below to indicate your ability to meet the following requirements: Service members must pass a fingerprint check through the KY State Police. Will you help your student applicant obtain prints BEFORE September 1 and send the card to FRYSC Corps for processing? Yes No FRYSC Corps requires that all Youth Service Members attend orientation. Will you help your applicant travel to this regional orientation? Yes No How many Frysc Youth Service Corps members do you request? Slots are limited and your full request may not be possible to fulfill # of positions requested Members must complete 300 hours of service from September 1 to the end of the school year. About 8 hours each week. Service outside regular school hours is highly encouraged. Describe how your applicant selection process will promote career exploration & development.
YSCCorpsHostSiteApplication2017.docx