2026-2027 AmeriCorps State and National Intent to Apply Form

Please complete and submit this form by February 25th, 2026 to indicate your organization's intent to apply for AmeriCorps State and National AmeriCorps program.
Reach out to MSA at ACquestions@mass-service.org prior to the deadline with any questions.

Name of Organization

Street Address

City

State

Zip Code

Contact Person

Phone Number

Extension (if applicable)

Email Address

Type of grant

Proposed Number of Members

Applicants will not be held to this number, but it is helpful to MSA to have an idea of what organizations may propose. Please note that organizations must apply for a minimum of 20 members AND the equivalent of at least 10 full time members (MSY).

Slot Types

full-time, half-time, quarter-time, etc.

Enter your organization's Unique Entity Identifier (UIE) number. If you do not have one, enter NA.

Provide a brief (500 words or less) description of the community/population being served, the problem being addressed and the core activities of the proposed program.

Most recent audit (including a Single Audit, if applicable)

Proof of eligibility- 501(c)(3) letter (or equivalent)

Signed Supplementary Certifications document

Contact Information