Proposal Form AmeriCorps Cultural Technology Proposal Form This program is a Partnership between the New Mexico Department of Cultural Affairs, the Media Arts & Technology program at New Mexico Highlands University and AmeriCorps. Program goals: promote the use of advanced multimedia technologies in New Mexico museums and cultural organizations, give media arts students opportunities to apply their knowledge and skills to projects in museums and other professional settings, and expose students to career opportunities in the cultural industry. Feel free to include information about your institution here.AmeriCorps placement options Please indicate here if your institution is seeking aminimum time (300 hours)quarter time (450 hours)part-time (900 hours)full-time (1,700 hours)Position Description Provide a brief description of the AmeriCorps member's responsibilities.Equipment Needs Let us know what equipment you need or have on hand to complete the project.Schedule Specific scheduling requirements? List them hereDate Beginning/end datesInstituion/ Department and Location of worksite Please tell us the location of your institution and department where the member will work. AmeriCorps members require a designated work area.Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryEmail Phone Number Supervisor's name What happens after AmeriCorps? Our program values the relationship that develops between a supervisor and his/her intern over the course of an AmeriCorps placement. We highly encourage mentors to demonstrate a commitment to either employ, or work with the intern to seek permanent employment, after they have completed a successful placement with your institution. Are you willing to either employ or help the intern find work through your institution’s networking avenues when the internship is successfully completed?YesI am unable to help my intern find work at this time***Note to all supervisors Background Checks are now required for Site Supervisors. In order to comply with the new rules and regulations the AmeriCorps Cultural Technology Program Director will send you the required paperwork. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
