re-enrollment/Letter of Intent form

TASK VISTA:
Letter of Intent to Renew Service Term
This form is intended for VISTAs who currently serve through TASK and want to apply for an additional,
one-year service term with the same organization. The form requires responses from both the VISTA
and site supervisor (or a representative from the host site organization). Please include a response
under each prompt or question.
VISTA Name:
Start of Service Term:
Service Site:
Site Supervisor or Organization Representative:
VISTA
1. Describe your VISTA projects during 2016-2017.
2. Describe your VISTA experience during 2016-2017. What was a highlight of your service? What
was a challenge during service?
3. Why are you interested in serving another term?
4. How will your projects and activities change in your next service term?
VISTA Supervisor/Organization Representative
1. Do you recommend the VISTA for another service term? Please explain.
2. How will the VISTA’s service experience change in his/her next service term? (Please submit
these changes in an updated VISTA Assignment Description - VAD).
3. What will you do to serve the VISTA’s professional development in his/her next service term?
Kentucky Campus Compact
TASK VISTA Re-enrollment Request Form - 2017
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