2 Employers of National Service Survey

Instructions:


We encourage you to first review all the items before you begin entering information. Unfortunately, you
cannot save and return to this form.



Our questions ask you to report based on the previous calendar year. If data are only available by fiscal year,
please note this in the comments box at the end of this form.



If you have any feedback or questions, please email employers@cns.gov.

1. Employer Name *

2. Successes and Goals
What is the value of adding AmeriCorps and Peace Corps alumni to your workforce? Please describe a notable
experience from hiring an AmeriCorps alumnus or returned Peace Corps Volunteer.

How will you determine if Employers of National Service is a successful initiative for your company or organization
in the next year? What strategies will you use to reach that outcome?

Would your organization be interested in highlighting your participation in the Employers of National Service
initiative should a relevant opportunity present itself? (i.e. featured in newsletter, speaking on a panel, etc.)
Yes
No
Unsure at this time

3. In the previous year, what actions did you take as an Employer of National Service? Please check all that apply. *
In job postings, included language encouraging AmeriCorps, Peace Corps, and national service alumni to apply
On job applications, incorporated a check box for AmeriCorps, Peace Corps, and national service alumni
Provided special hiring consideration for AmeriCorps, Peace Corps, and national service alumni
Provided interviews for qualified AmeriCorps, Peace Corps, and national service alumni
Created positions exclusively for AmeriCorps, Peace Corps, and national service alumni
Other (describe below)
If you selected the first option "In job postings...", please provide best estimate of number of postings and location
posted. For all other selections, including other, please describe in more detail each option you chose. *

4. Summary of Recruitment and Hiring
Below, please report on your recruitment and hiring activity from the previous calendar year. We are interested in
learning as much as we can in this section, but recognize that some organizations may not be able to answer all of
these questions yet.
Did your organization do any of the following? Please check all that apply.
Posted a vacancy on AmeriCorps or Peace Corps job boards
Attended an AmeriCorps or Peace Corps career fair
Included information about Employers of National Service on organization website
Total number of national service alumni applicants
Total number of national service alumni hired
Total number of employees hired by your organization *

5. Workforce Totals
If available, report separate totals for AmeriCorps alumni and returned Peace Corps Volunteers. If this number is not
available, report the total number of national service alumni (AmeriCorps and Peace Corps) only. Note: Please
account for individuals who have served in both AmeriCorps and Peace Corps only once in "Total number of
national alumni".
Number of AmeriCorps alumni employees
Number of returned Peace Corps Volunteers employees
Total number of national service alumni employees
Total number of employees at your organization *
6. Updating Program Information
Please provide current contact information for the following individuals.
Contact Information for Programmatic Coordinator
Typically involved in human resources, the Programmatic Coordinator is directly involved in implementing
Employers of National Service at your organization.
Name *

Title *

Phone *

Email *
Contact Information for Partnerships Coordinator
Please indicate the person who leads your organization's partnership-related efforts.
Name

Title

Phone

Email

Contact Information for Media Coordinator
We may contact your Media Coordinator ahead of large events or for press outreach relating to Employers of
National Service.
Name

Title

Phone

Email
If your organization moved or expanded to new states or countries in the previous calendar year, please provide this
information below.

7. Additional Comments