Vista Forms

OCCN Volunteer In Services To America (VISTA) Program

OCCN VISTA Application Forms

AmeriCorps* applications can be found online at https://recruit.cns.gov/
Only online applications will be accepted by OCCN.

Applicant Forms
Benefit Election Form
Direct Deposit Form
PSO Registration and Travel Authorization
Use of Vehicle
Citizenship Documentation
What to Know Before Beginning Service
W4
Certification of Documents

Site Forms
Sponsor Evaluation of Applicant
VISTA On-Site Orientation Plan
PSO Registration and Travel Authorization Form
Sponsor Recommendation
Memorandum of Understanding
Vista Assignment Description
For more info and sample VAD's go here

Forms for Current Members
Timesheet
Quarterly Report
All other forms can be found on Intranets

For additional information on the OCCN VISTA Program contact:

Gary Lambert
OCCN Executive Director
274 E. First Ave.
Columbus OH 43201-3673
Phone#: (614) 644-6932
Fax#: (614) 728-3521

Email

Robb Ebright
OCCN VISTA Leader
274 E. First Ave.
Columbus OH 43201-3673
Phone#: (614) 387-2550
Fax#: (614) 728-3521
Email

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vista-application.zip83.48 KB