ATEAM/AmeriCorps

New Member Paperwork

The enclosed paper work has to be completed and returned in order to serve with ATEAM/AmeriCorps. Please be sure every item on this list in the white lines is checked off before you return the packet. Please return this completed sheet with all other paperwork.

Returned with Packet
U.S Department of Justice/Citizenship Form –Form I-9 Employment Eligibility Verification
Complete the first page and return with paperwork
Readable copy of Driver’s License if you have not already provided a copy to us
Readable copy of Social Security Card If you need a replacement card, this is the web address where you can order it--
KY Department of Education Medical Exam for and TB Risk Assessment Screening. Barren County BOE requires that every new employee have a medical exam and a TB screening prior to beginning service. This expense will have to be paid for by you. You DO NOT have to have a TB Skin Test unless the screening reveals that you should. *We can accept copies of these IF you have had them done in the last 90 days. The medical form provided in the paperwork MUST be used for your exam.
Medical Exam Form and TB Risk Assessment Screening
Withholdings/Tax Forms
Federal Withholding Form (W-4 Form)—Make sure to sign this form.
State Withholding Form—Make sure you sign this form.
Direct Deposit Form—Barren County BOE uses direct deposit for dispersing the living allowance to members. Please fill out this form and attach a voided check. Cannot be processed without check. If you do not use checks, a document from your banking institution needs to be provided that has your routing number and account number listed. YOU CANNOT BE SET UP IN PAYROLL WITHOUT ONE OF THESE TWO ITEMS INCLUDED IN YOUR RETURN PAPERWORK.
Direct Deposit Form
Voided Check or direct deposit authorization form from your bank
Required paperwork for Barren County
Copy of High School OR College diploma or transcripts. (an unofficial transcript will suffice). If you only have a high school diploma, send a copy of that. If you are a college graduate, please send a copy of your college diploma.
Copy of KY Paraeducator Certificate if you do not have 48 or more college hours. If you do have 48 or more college hours, please enclosed a copy of your College Transcripts as verification of 48 college hours. Transcripts do not have to be “official”. Send college transcripts ONLY if you are not a college graduate.
Copy of Birth Certificate—Please enclose a readable copy of your state issued birth certificate. A hospital certificate will not be accepted. If you need a replacement birth certificate, this is the web address where you can order it--