Community Health Corps Montana 2026 - 2027 Host Site Application

Community Health Corps Montana 2026 - 2027 Host Site Application

Thank you for your interest in hosting an AmeriCorps member with Community Health Corps Montana.

Community Health Corps Montana (CHCM) engages individuals in meaningful service to Montana through community partnerships to advance sustainable solutions to the state’s most pressing health challenges. Our members serve alongside organizations to strengthen mental health and substance use disorder resources, improve chronic disease prevention and management, and address social drivers of health.

CHCM’s second program year will run from September 14, 2026, to July 30, 2027, with each member completing a 1700-hour term of service.

This application keeps us in compliance with AmeriCorps policy and helps us assess selected sites for alignment, readiness, and potential for shared impact. You can save your progress and download your submission for your records.

Selection & Placement Process
Due to strong interest and to support successful member placements, CHCM will use an “approved host site” model for this program year.

Phase 1: Host Site Approval
Applications will be reviewed and scored by CHCM staff and advisory committee members to determine which organizations are approved to host an AmeriCorps member.

Phase 2: Recruitment & Matching (Rolling Placement)
Approved host sites will move into a shared recruitment and matching phase. CHCM will actively recruit and refer candidates, and host sites will participate in interviews and selection.

Member placements will occur on a rolling basis and will depend on:

Alignment between candidate interests/skills and host site projects
Timeliness of host site engagement in interviews and decision-making
Overall readiness to onboard a member

Because placements are made as strong matches are identified, sites that are ready, responsive, and actively engaged in recruitment and interviews are more likely to successfully host a member.

Phase 3: Onboarding & Service Launch
Once a candidate is selected, CHCM will lead onboarding, training, and program compliance to support a successful start.

CHCM anticipates approving more host sites than available member positions. Member placements will occur on a rolling basis as qualified candidates are identified and matched with approved host sites. Once all available member positions are filled, additional approved sites may not receive a placement.

While host site participation in recruitment is not required, active engagement often strengthens candidate matching and can support more timely placement.

About This Application
There are 35 questions total. Of the 35, six questions are open-ended/long answer. These are:

Project Description
Briefly describe the project your AmeriCorps member would support. Please address each of the following components (responses may be in bullet points or short phrases):

Community need/issue being addressed
Key service activities the member will complete
How this role adds capacity (not duplicating staff/volunteers)
Anticipated impact on the community or organization

Member Qualities & Skills
What qualities or skills are you hoping for in an AmeriCorps member at your site? (A bulleted list is sufficient.)

Member Selection Approach
How will your organization ensure a fair and thoughtful approach to selecting a member? (e.g., ensuring fair evaluation, considering varied backgrounds and lived experience, etc.)

Community Input
Briefly tell us how community input informs your work. (Tell us how you listen to and incorporate community input into your programming. A bulleted list is sufficient.)

Member Integration & Support
How will your organization support the member’s integration into your team and community? (A bulleted list is sufficient.)

Interest in Hosting
Briefly tell us why you want to host an AmeriCorps member.

Review & Next Steps
All applications will be reviewed and scored by a team of CHCM staff and advisory committee members. By May 15, 2026, organizations will be notified of their status as an approved CHCM host site.

Approved sites will:

Receive the CHCM Program Handbook
Sign a Host Site Memorandum of Understanding
Confirm a cost-share payment schedule
Enter the recruitment and matching phase in partnership with CHCM

We deeply value the time, thought, and care you put into this application, and your commitment to advancing health in Montana communities.

If you have any questions, contact Angela Davis at angela.davis9@montana.edu.

Please note:
Submission of this application does not guarantee approval as a host site or placement of an AmeriCorps member.

MSU & AmeriCorps prohibit all forms of discrimination and harassment based on the protected categories of race, color, national origin, sex, age, religion, sexual orientation, disability (mental or physical), political affiliation, marital or parental status, pregnancy, reprisal, genetic information (including family medical history), or military service.

Organization Name *

Organization EIN*

Organization website *

Organization Physical Address *

Organization Mailing Address *

In two to three sentences, briefly describe your organization's mission and primary services. *

Briefly tell us how community input informs your work.(Tell us how you listen to and incorporate community input into your programming. A bulleted list is sufficient.)*

YesSomewhatNo

If no, please explain.

Designated Site Supervisor*

First NameLast Name

Site Supervisor E-mail Address:*

Site Supervisor Phone Number *

YesNoMaybe/Unsure

If yes, who?

Organization name, primary contact name and email.

Mental Health & Substance UseChronic Disease Prevention & ManagementSocial Determinants of Health

In the space provided below, briefly describe the project your AmeriCorps member would support. Please address each of the following components (responses may be in detailed bullet points or short phrases):

Community need/issue being addressed:
Key service activities the member will complete:
How this role adds capacity (not duplicating staff/volunteers):
Anticipated impact on the community or organization:

Member Project Overview: *

Describe any familiarity your organization or staff members have with AmeriCorps (i.e. Has your organization hosted an AmeriCorps member before? Have any of your staff served as AmeriCorps members?)

Provide at least 5 hours of weekly supervisionProvide $15,500 cost share per member (paid in installments, first payment required before member's start date)Provide members with adequate office space and access to appropriate office materials, including a work computer, work email address, and other necessary resources, to ensure they can complete their service effectively.Review and approve member bi-weekly timesheetParticipate in program orientation training (September 16 & 17)Participate in monthly program calls (~2pm -3pm, fourth Thursday of the month beginning in October)Complete member mid-term and end-of-term evaluations (Evaluations provided by CHCM)Participate in the mid-term program site visitCollaborate with CHCM staff to address any issues with or unsatisfactory work performance by an AmeriCorps member. Host sites may not suspend or terminate the service of AmeriCorps members. All official disciplinary actions are handled by CHCM programming staff.

Do you have any comments or concerns about the above host site expectations? If something was left unchecked, please provide a justification.

How will your organization support the member’s integration into your team and community? (A detailed bulleted list is sufficient.)*

YesSomewhatNot at all

If so, what might that look like?

If needed, does your organization have housing available for the AmeriCorps member(s)? If yes, please provide details regarding the type of housing, amenities available, and any associated costs.*

If needed, what local housing resources or assistance can you offer to help the AmeriCorps member(s) secure suitable accommodations within your community?*

Community Health Corps Montana uses a collaborative, values-based member selection process that prioritizes alignment, community need, and thoughtful placement.

AmeriCorps members are recruited, screened, and interviewed by program staff. Host sites conduct interviews with selected pre-screened applicants. Final selection and placement decisions are made in partnership with CHCM and the host site to ensure a strong match between member skills, goals, and host site needs.

Please answer the following:

What qualities or skills are you hoping for in an AmeriCorps member at your site? (A bulleted list is sufficient.)*

CHCM will conduct the initial screening and matching process for AmeriCorps member applicants.

If selected as a host site, you will receive 2–3 applicants, per position, who have been matched to your site based on skill, interest, and fit.

We ask that you contact and interview each of these candidates within one week of receiving their information (expected to begin in late June), and then provide CHCM with your feedback and final selection.

CHCM will make all member offers.

YesSomewhatNo

If you do anticipate challenges with interviewing applicants, CHCM matched and shared with you within a week of receiving their information, or with CHCM making final offers, please explain.

How will your organization ensure a fair and thoughtful approach to selecting a member? (e.g., ensuring fair evaluation free of discrimination, considering varied backgrounds and lived experience, etc.) *

Please note that MSU & AmeriCorps prohibits all forms of discrimination and harassment based on the protected categories of race, color, national origin, sex, age, religion, sexual orientation, disability (mental or physical), political affiliation, marital or parental status, pregnancy, reprisal, genetic information (including family medical history), or military service.

By submitting this application, your organization agrees that if selected, you will follow CHCM’s member selection process and collaborate with program staff throughout placement.

Specifically, host sites agree to:

Conduct an interview with each candidate given and provide timely feedback to CHCM staff
Evaluate candidates based on skills, lived experience, and alignment with service goals — not solely on formal education or work history
Consider how to reduce bias in candidate assessment and contribute to a welcoming interview experience
Coordinate all candidate communication and selection decisions with CHCM staff
Refrain from making any formal offers directly to candidates — all official AmeriCorps offers will be made by CHCM staff.

I agree and if selected to be a host site, will screen candidates according to the above process

I understand that AmeriCorps members placed through Community Health Corps Montana are required to:

1. Participate (in-person, in Helena (location may change)) in the following program trainings; *Travel costs and accommodations provided by CHCM

Program Orientation: September 16th - 18th
Professional Development Training: November 4th - 6th
Montana State Service Symposium: estimated to be March 10th - 12th
End of Term Training: July 29th & 30th

2. Identify as AmeriCorps members (not staff or volunteers) and should be in AmeriCorps gear (provided by CHCM) anytime they are conducting service/accumulating service hours.

3. Adhere to allowable activities. AmeriCorps members may not engage in the following activities while accruing AmeriCorps service hours, or while representing the program:

Engaging in any activity that duplicates or displaces staff duties
Influencing legislation, engaging in political campaigning, or voter registration drives
Conducting religious instruction or promoting religious practices
Benefiting for-profit businesses, labor unions, or partisan organizations
Participating in protests, strikes, boycotts, or union organizing activities
Providing abortion services or referrals
Performing any activity prohibited by AmeriCorps regulations
Full details are provided in the CHCM Host Site Handbook.

Note: Individuals may engage in these activities on their own time, with non-AmeriCorps resources, and without wearing AmeriCorps gear.

I understand and agree to these program requirements.

YesNo

Briefly tell us why you want to host an AmeriCorps member.*

Is there anything else you'd like us to know?

Signature

By signing below, I confirm that the information provided in this application is accurate to the best of my knowledge and, if selected as a host site, I agree to uphold the roles, responsibilities, and commitments outlined in this application. *

Sign with mouse or finger above the line.

Today's Date*

Organization Information

CHCM Member Project Overview

In the space provided below, briefly describe the project your AmeriCorps member would support. Please address each of the following components (responses may be in detailed bullet points or short phrases):

Member Support & Organizational Readiness

Member Selection Process

Community Health Corps Montana uses a collaborative, values-based member selection process that prioritizes alignment, community need, and thoughtful placement.

Please answer the following:

Acknowledgements

Final Thoughts