Member Development/Training Plan
In order for a member to count member development/training hours (other than the initial WACC Orientation
Training in September), the member must detail their member development/training activities and/or goals on this
form and have the form approved by their site supervisor and WACC. All member development/training hours
must somehow benefit their current service project and/or service site.
Name: _________________________________ Institution:______________________________________
Please list below the member development/training activities and/or goals you would like to pursue during
your 2012-13 term of service with the AmeriCorps Retention Project.
Please estimate the following:
Your approximate weekly time commitment for your training activities/goals (above): __________
How will your above service activities/goals benefit your current service project and/or site?
By signing below, I approve of the use of the above member’s activities and/or goals to count toward their
member development/training hours and agree that the above activities and/or goals will benefit their current
service project and/or service site.
Site Supervisor Signature:_________________________________________ Date: __________________
WACC/ORCC Signature:_____________________________________________ Date: ___________________
Site Supervisors: Once you have signed this form, keep the original for yourself, and
email a pdf copy to (WA) email@example.com or (OR)
firstname.lastname@example.org for signing and to put in member’s official file.