2 2011 Day of Service Tracking Tool

Day of Service Registration and Reporting (Serve.gov)

Day of Service Tracking Tool 9.23.11

serve.gov Stories of Service

OMB: 3045-0122

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Questions for Day of Service Tracking Instrument

September 23, 2011


New Questions are in red


  1. Project Name [Enter a title]

  2. Project Location:

    • Street address

    • City, State, Zip

    • Virtual Opportunity (participate online from home)

  1. Brief Description: Describe the activity

  2. How many volunteers are expected to serve? [Number or unlimited] [Actual]

  3. How many national service participants are expected to serve [Number] [Actual]

  4. How many other attendees are expected [Number] [Actual]

  5. Name(s) of VIP attendees:

  6. Names of notable partner(s):

  7. When does the opportunity start? [Date and time]

  8. When does the opportunity end? [Date and time]

  9. Rain date?

  10. Is this a one-time event or is it re-occurring? If re-occurring, how often will it occur? [Weekly, Monthly, Semi-annually, Annually]

  11. Lead Organization [Name, Address, phone, e-mail, website]

  12. If grantee, then which program: [e.g. ACSN, NCCC, SC-FGs, SC-SCs, SC-RSVP, VISTA]

  13. Contact Name, phone and e-mail:

  14. Press contact name, phone, and e-mail:

  15. Populations expected to be served as beneficiaries: [CNCS populations of interest, e.g. New Americans, Older Americans, Rural Residents, Low-income Individuals, Veterans, Faith-based Communities, Communities of Color, Native Americans, People with Disabilities, Veterans, Active Military, Military Families.]

  16. Populations expected to be serving as national service participants: [CNCS populations of interest e.g. New Americans, Older Americans, Rural Residents, Low-income Individuals, Veterans, Faith-based Communities, Communities of Color, Native Americans, People with Disabilities, Veterans, Active Military, Military Families.]

  17. Populations expected to be serving as volunteers: [CNCS populations of interest e.g. New Americans, Older Americans, Rural Residents, Low-income Individuals, Veterans, Faith-based Communities, Communities of Color, Native Americans, People with Disabilities, Veterans, Active Military, Military Families.]

  18. Which of these CNCS strategic focus areas best describes this opportunity [check all that apply]

    • Disaster Services

    • Economic Opportunity

    • Education

    • Environmental Stewardship

    • Healthy Futures

    • Veterans and Military Families

    • Capacity Building

  1. Relevant attachments/links (such as an event flyer, website, press release, photos)

  2. Performance measures:

  • Hours of service contributed by community volunteers who were recruited by CNCS-supported organizations or national service participants

  • Hours of service contributed by community volunteers who were managed by CNCS-supported organizations or national service participants

Questions Deleted from Approved ICR:


Tell us your story of service, how (are/did) you (serving/serve)?  (Please include impact and results when available)

How many participants (will/did) you have for your project or event?

Do you have photos and/or videos of your event?  If posted online please provide link(s)


*Categories: Animals, Beautification and Clean-up, Building, Children & Youth, Civic & Community, Collections (food, clothing, etc.), Community Renewal, Disability Service, Disaster Training & Preparedness, Education, Energy & Environment, Essay or Oratorical Contest, Faith-based, Food Preparation, Health, Human Services, Disaster Relief & Recovery, Military Families, Mentoring, Oral History, Painting, Public Safety, Technology, Tutoring, Veterans


**Options: No, Yes-AmeriCorps Week, Yes-Learn and Serve Challenge, Yes-MLK Day of Service, Yes-Senior Corps Week, Yes-September 11 National Day of Service and Remembrance, Yes-Other


***If Company, Nonprofit, Education Institution, Government Agency, or Other are chosen user will be prompted for the organization’s name


****Options: None, Senior Corps (General), Senior Corps-RSVP, Senior Corps-Foster Grand parents, Senior Corps-Senior Companions, AmeriCorps (General), AmeriCorps-State, AmeriCorps-National, AmeriCorps-NCCC, AmeriCorps-VISTA, Learn and Serve America (General), Learn and Serve America-K-12, Learn and Serve America-Higher ED, Learn and Serve America-Community Based, Learn and Serve America-Indian Tribes



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBorgstrom, Amy
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File Created2021-01-31

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