This form does not save, so we encourage you to prepare your answers offline in case there are any issues with the submission. You can download a word version here.
This application is for CivicSpark project partner proposals for the 2019-20 service year. Your application will help LGC Staff understand your project, identify alignment of your project with our programmatic priorities, and ensure your project is eligible for CivicSpark support. Completion of the application form does not ensure you a placement nor does it obligate you to participate. This is merely the first step in the application and commitment process.
All fields marked with a red *are required.
You must have someone noted for each role, and one person can be noted for multiple roles. However, the first person, and only one person should be listed as the “project contact.” Add additional contacts after as needed.
CivicSpark sends out a monthly newsletter with stories about Fellows' work, our partners, our Alumni, and often includes links to other statewide events and resources. We won't add someone without permission.
The following section includes a series of dropdown options for you to categorize your project and establish a project profile. Categories include target regions, activities, topics, and outputs.
We will use this project categorization to a) match projects more closely with Fellow applicant interests, and b) rank project applications in accordance with our programmatic priorities.
Note: for some of the sections you will estimate the percentage of the project that fits that criteria. Each category should total 100%. For example; General Activity Types: 50% research, 0% Planning, 50% implementation.
This section asks for information about the project beneficiaries (target local public agencies, departments or programs within a single agency) that will receive support through your project. This information is required, and must be provided before the start of service (8/25/19).
Click here to download Excel spreadsheet to complete this section for multiple local governments
Send the completed excel sheet to firstname.lastname@example.org.
Please respond to the question below with respect to the community the agency named above serves and/or for the agency itself. Answering “yes”below indicates that you meet the eligibility criteria, (ie. have a need for capacity), and are therefore eligible to receive CivicSpark support.
These conditions are tiered; that is, if you meet any of the conditions on the first question, you do not need to answer the second or third question. If you DO NOT meet any of the first question conditions but do meet the second condition, you do not need to meet the third. If you don't meet either the first or second conditions, you must meet the third condition to be eligible.
AmeriCorps programs are funded in part by the Corporation for National and Community Service, and in part by participating local governments. Receiving CivicSpark support requires a fiscal contribution; public agencies or third parties can provide that fiscal contribution. Rates for CivicSpark support are all-inclusive (e.g., covers workers compensation, liability insurance, workplace costs, member personnel benefits, job travel support, etc.); and is based solely on project work.
To proceed with CivicSpark services, LGC requires completion of a signed Service Agreement (contract) and a 10% down payment of total service cost. Service Agreement and down payment must be received prior to the start of CivicSpark Fellow service. The remaining cost of service will be paid monthly throughout the term of service.
For additional details on costing and service information for each period refer to the "Fiscal Contribution" section of our website.
For this final section, we want to be sure you understand certain conditions and priorities we have for the program. Please review and when ready agree to the following questions and linked requirements.
PLEASE NOTE: We encourage you to save a copy of your answers before submitting in case there are any issues as this form does not save your work.
After you submit you should receive an email confirmation. Please check (and check your spam filter) to be sure you receive this confirmation. If you don't your application may not have been submitted. If you do not receive a confirmation please get in touch right away.