OMB control number
AmeriCorps Member Application, Enrollment, and Exit Forms
OMB 3045-0054 · CNCS.
OMB 3045-0054
This information collection is a revision of AmeriCorps Member Application, Enrollment, and Exit Form. Applicants will respond to the questions included in this information collection tool to apply to serve as AmeriCorps members, enroll in the National Service Trust, and exit their term of service.
The latest form for AmeriCorps Member Application, Enrollment, and Exit Forms expires 2028-05-31 and is listed under ICR 202411-3045-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 2 AmeriCorps Enrollment and Exit Form | Form |
| Form 1 AmeriCorps Member Application | Form and Instruction |
| Form 1 AmeriCorps Member Application, Enrollment, and Exit Form | Form and Instruction |
 30-Day_04-16-25_90 FR 15979.pdf | Supplementary Document |
| 30-Day_04-16-25_90 FR 15979.pdf | Supplementary Document |
| 60-Day_12-30-2024_89 FR 106447.pdf | Supplementary Document |
| National and Community Service Act of 1990.pdf | Supplementary Document |
| Member Application SSA_For Upload.docx | Supporting Statement A |
| Member Application SSA_For Upload.docx | Supporting Statement A |
 AmeriCorps Member Application, Enrollment, and Exit Form |
Form |
| AmeriCorps Member Application, Enrollment, and Exit Form |
Form and Instruction |
| AmeriCorps Member Application, Enrollment, and Exit Form |
Form and Instruction |