Reference Guide: 

VISTA Teleservice & Virtual Service Site Request & Agreement Form

Updated: 10.24.2023

Overview

Effective January 31, 2023, the VISTA Teleservice & Virtual Service Site Request and 

Agreement Form migrated to the My AmeriCorps Member Portal; and approvals can now be 

done by site supervisors and project directors through the eGrants Portal. 

This form serves as a checklist to assess the safety of a teleservice or virtual service site 

arrangement and serves as the agreement form relevant to the VISTA Teleservice and Virtual 

Service Site Policy Update effective January 1, 2023.

AmeriCorps Members in the VISTA program completes the form and submit it to their 

AmeriCorps VISTA site supervisor for review and approval. Site Supervisors review requests,

approve or disapprove, then submit to the VISTA Project Director for review and 

acknowledgement. Sponsors are responsible for acknowledging and maintaining access to 

the record of all forms in accordance with record retention policies.

Record Keeping: 

All teleservice requests submitted outside the portal prior to January 1, 2023, need to be 

maintained by the VISTA Project sponsor in accordance with records retention policies, which 

by AmeriCorps standards is 3 years past the close of the project (program code/grant #). 

Any teleservice or virtual service site requests received as of January 1, 2023, outside of the 

portal should be resubmitted via the portal to align with the policy change and migration of 

the form to the portal. 

Questions: Contact the AmeriCorps Hotline at 1-800-942-2677 

Process Sequence: 

To Initiate the Form: the VISTA Teleservice & Virtual Service Site Request Form is initiated by 

the member from their My AmeriCorps Account. The form can be found on the menu tree on 

the left-hand side of the home screen. 
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VISTA Members complete the form on their My AmeriCorps Account: 

Basic information (name, NSPID, VAD Title, Project Name, Site Name, Current Address, etc.) is

prepopulated based on information associated with the member’s account. The member will 

need to confirm the information is correct before submitting the form. Any changes to the 

prepopulated information will need to be changed on the member account information prior 

to submitting the form. Members should consult with their site supervisor regarding any errors 

in project specification information such as the VAD, Project Name, or Site, etc.. Members can 

update their personal information on the My AmeriCorps Account from the home tab. The 

AmeriCorps Hotline can also help with questions. Contact the Hotline at 1-800-942-2677 or 

via the webform or live chat. 

• Members should request either a teleservice or virtual service site. 

• A teleservice request can be less than 5 days per week, if such, the form should 

indicate the number of days requesting to teleserve. 

• Teleservice / Virtual Service Site Address field should be completed / updated

only if the alternative site address is different than the address prepopulated on 

the form. The prepopulated address is the current address associated with the 

member’s account. 

• The member will need to review the checklist for the Teleservice and Virtual 

Service Site Environment and select “yes” or “no” as applicable for each 

question. 

i. If most of the answers to these questions are “no” the member should 

consult with their site supervisor to ascertain if they have a viable and 

safe environment for teleservice or a viable and safe virtual service site. 
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• By submitting the form, the member understands they have “... read and 

understand the AmeriCorps VISTA Teleservice and Virtual Service Site Policy. I 

agree to abide by the terms and conditions. I further agree that while serving 

from a teleservice / virtual service site location I will abide by all applicable VISTA 

policies and procedures. I understand that failure to abide by these polices and 

rules may result in administrative action against me, including possible removal 

from VISTA service. If I have questions concerning my teleservice or virtual 

service site agreement, I will contact my site supervisor immediately for 

assistance. I further understand and agree to my sponsor / site policies and 

procedures regarding proper use of equipment and resources provide to me. I 

understand all equipment and resources issued to me should be returned to my 

sponsor / site when I leave VISTA service.” 

 

 

Site supervisor will receive an email with the subject line “[External] AmeriCorps VISTA 

Teleservice or Virtual Service Site Request Form-ACTION REQUIRED” from 

myamericorps@americorps.gov email address. The email will note the name of the member 

who submitted the form and provide a direct link to the form on the system. The email will 

also include the name of the Portfolio Manager assigned to the project to contact if assistance 

is needed. 

• Once the link is clicked, the form will populate via a web browser on the 

MyAmeriCorps Portal. Site supervisors do NOT need to log-in to the portal to access 

the form. The link will take them directly to the form. 
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• From here the site supervisor will be able to review the basic information of the 

member, the type of request, and the address of the teleservice site or virtual service 

site. The site supervisor is not able to edit this information from the link. The form will 

need to be returned to the member and any edits will need to be done on the 

member’s account directly. 

• The site supervisor will then review the questions related to the Teleservice and Virtual 

Service Site Environment. If most of the answers to these questions are “no” the site 

supervisor should consult with member to ascertain if they have a viable and safe

environment for teleservice or a viable and safe virtual service site. 

• The site supervisor is able to leave comments (up to 500 characters) on the form. 

Members are unable to see “Supervisor Comments”, but project directors can see 

comments left on the form. 

• It is recommended that the site supervisor leave a comment in the Supervisor 

Comments section of the form; at minimum a comment indicating the form was 

reviewed and approved as is. 

• If the request is disapproved, an explanation is required. 
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• The site supervisor can take three actions on the form: 1) Return to Member 2) 

Approve 3) Decline. 

• If the site supervisor finds an error or additional information is needed, the 

supervisor can return the form to the member. 

• If the form is not approved the supervisor can decline the request, and the 

Project Director & Member will receive notification of the decision.

• If the form is approved, the Project Director will receive notification to review 

and acknowledge the submission. 

• Site supervisor’s approval of the form indicates the receipt and review of this 

form as submitted, and the approval or disapproval of the teleservice or virtual 

service site request. It does not signify that the supervisor has inspected the

members alternative work address. No such inspection is required.

Sponsors / Project Directors will receive an email with the subject line “VISTA Teleservice 

Form” from myamericorps@americorps.gov email address. The email will note the name of 

the member who submitted the form and provide a link to the form via the eGrants portal. 

Project directors WILL need to sign-in to their eGrants Account to access the form on the

eGrants Portal. 

• The form is available in the eGrants Portal via the VISTA Workbasket and will appear 

under the “Teleservice Applications” tab. 

i. From here the sponsor will be able to review the basic information of 

the member, the type of request, and the address of the teleservice site 

or virtual service site. The sponsor is not able to edit this information. 

Any edits will need to be done on the member’s account directly. 

ii. The sponsor will then review the questions related to the Teleservice 

and Virtual Service Site Environment. If most of the answers to these 

questions are “no” the project director should consult with site 

supervisor to ascertain if the member has a viable and safe environment 

for teleservice or a viable and safe virtual service site. 

iii. The project director is able to leave comments (up to 500 characters) on

the form. Members are unable to see site supervisor and project 

directors comments, but site supervisor and project directors can see 
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comments left on the form when/if the form is returned to the site 

supervisor. 

• The sponsor / project director can take two actions on the form: 1) Return to Supervisor 

2) Acknowledge. If the project director finds an error or additional information is 

needed, the project director can return the form to the site supervisor. From there, the 

site supervisor can provide clarification or correction to the form and resubmit to the 

sponsor/project director or return to the member. 

• When the form is approved, the member and site supervisor will receive an email

notification that the request has been processed and approved. The email subject line

will be “AmeriCorps VISTA Teleservice Request Acknowledged Approval” from 

myamericorps@americorps.gov email address. At the bottom of the teleservice form 

in the Portal, the member will see the status, the name of their site supervisor and the 

date it was approved.

• When the request is declined, the member and site supervisor will receive an email 

notification titled “[External] AmeriCorps VISTA Teleservice Request Acknowledged 

Decline” that the request has not been approved. 

 

Record Access / Forms on File: Members will be able to view the most recent form on file, in 

their My AmeriCorps account. On the eGrants portal “Teleservice Application” tab of the 

VISTA Workbasket, project directors will be able to view all submitted and acknowledged / 

approved forms. 

New / Updating Request and Agreement Forms: If a new form is needed (for example a 

member transfers project or sites) or if the site / project is no longer supporting a telework 

agreement (for example because of member performance issues) a new form will need to be 

submitted by the member via the My AmeriCorps portal in a timely manner. The form on file 

is not able to be edited by the member, the member will need to create a new form for 

submission. 

Revoking Request and Agreement Forms: The Project Director / Sponsor will be able to 

revoke an approved form for possible reasons such as performance issues, technology issues, 

change in sponsor policy. The “revoke” button will be available at the bottom of the form 

under the approved by and date information.