Form PC-DP-969.1.2 Career Information Consultants Waiver Form

Peace Corps Career Information Consultants (CIC) Waiver Form

0420-0531_CICWaiver Forms

Peace Corps Career Information Consultants (CIC) Waiver Form

OMB: 0420-0531

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Dear Prospective Career Information Consultant:


Thank you for your interest in serving as a resource in the Career Information Consultants Directory (CIC). The publication is updated annually.


We are now in the process of preparing the 2007 edition of the directory and welcome your support. If you are interested in being listed in this edition, please take a moment to complete the enclosed waiver form and return it in the self-addressed stamped envelope.

If for some reason, you are unable to participate in the Career Information Consultants project at this time, please complete the section below and return this letter in the self-addressed stamped envelope.


Please return this signed letter or the completed form by October 30, 2007.


Thanks again for your involvement in this project. Your time, expertise, and readiness to assist in the job search process of the RPCV community are invaluable assets. Please let me know if you have questions regarding your listing, please contact me for assistance or if you would like information about additional RPCV career activities and events. I can be reached at (202) 692-1435 or by e-mail at [email protected]


Take Care,



Tamara Webb, Program Specialist

Office of Domestic Programs

Returned Volunteer Services


I am unable to serve as a Career Information Consultant (CIC) at this time. Please do not include my name and contact information in the 2007 edition of the Career Information Consultants directory.

Name


Title or Position


Organization


Home Address


Work Address






Home Phone


Work Phone


Fax:


E-mail address



  • Please check this box if you would like to be contacted regarding the CIC project in the future


Date


Signature


B

OMB Control No: 0420-0531

Expiration Date:

e a Career Information Consultant (CIC) for RPCVs!

Career Information Consultants (CICs) help current Peace Corps Volunteers and returned Peace Corps Volunteers with their career-related transition back to the United States. CICs assist by offering information about their career field, their past or current employer(s), and their career and educational paths. The Career Information Consultants directory is a project managed by the Peace Corps Office of Domestic Programs, Returned Volunteer Services (RVS).

CIC Qualifications/Expectations:

  • Are you up-to-date on the trends and opportunities in a particular career field or agency?

  • Do you agree to respond promptly to PCV and RPCV inquiries by letter, e-mail, or phone? Time commitments are usually minimal (averaging 2-10 contacts per year)



I qualify as a Career Information Consultant in the following career field(s):(indicate any specialty)

If your career field is not listed on the reverse, please list.

1.


2.


3.








4.


5.


6.








PLEASE PRINT CLEARLY

Please choose one of the following designations:

  • New CIC

  • Past or Current CIC


Name



Title or Position



Organization



Home Address


Work Address








Home Phone


Work Phone



Fax:


E-mail address



Where would you prefer to be contacted?

Home



Work



Are you a returned Peace Corps Volunteer (RPCV)?

Yes



No




If yes, where did you serve?


From (yyyy):


To (yyyy):



  • I understand that the information I provide will be printed in a directory and shared with current and returned Peace Corps Volunteers.

  • I understand that offering to serve as a CIC is on a voluntary basis and any expenses incurred (phone calls, postage) will be at my own expense.

  • I understand that the publication will be updated annually. Waiver forms will be sent to all CICs each year.


Please date and sign this waiver form and return to:

Career Information Consultants

Paul D. Coverdell Peace Corps Headquarters

Office of Domestic Programs - Returned Volunteer Services

1111 20th Street, NW

Washington, DC 20526

Fax: (202)692-1421 E-mail: [email protected]





Date


Signature

AGRICULTURE, ANIMAL, & ENVIRONMENTAL WORK


Agricultural Education


Agricultural Support Services


Animal Production (Specify)


Crop Production (Specify)


Energy Science


Environmental Consulting


Environmental Education


Environmental Project Admin


Farm Management


Fishing


Forestry/Logging


Parks and Zoos


Natural Resource Management


Veterinary Services


Water Systems


OTHER (Specify)




ARCHITECTURE, DESIGN & ENGINEERING


Architecture


Design (Specify i.e. Industrial.)


Engineering Services (Specify)


Landscape Services


OTHER (Specify)




ARTS & ENTERTAINMENT


Outdoor Recreation


Museums


Music Production


Performing Arts (Specify)


Travel & Tourism


Visual Arts (Specify)


OTHER (Specify)




BUSINESS, LAW,

FINANCE & INSURANCE


Accounting


Banking


Business Development


Finance


Financial Planning/Analysis


General Business Admin.


Human Resources


Insurance


Law & Legal Services


Management Consulting


Micro-enterprise


Real Estate


Sales


Small Business Development


OTHER (Specify)




EDUCATIONAL SERVICES

(Specify Specialty or Dept if applicable )


Adult Education


Bilingual Education


Colleges & Universities


Community College


Early Childhood Education


Educational Administration


Educational Counseling/


Elementary Education


English as a Second Language


International/Global Education


Secondary Education


Special Education


Substitute Teaching


Vocational Education


OTHER (Specify)




GENERAL

NONPROFIT WORK


Advocacy & Public Outreach


Evaluation & Research


Fundraising


General Program Management


Leadership Development


Partnership Development


Staffing


Volunteer Management


OTHER (Specify)




GOVERNMENT SERVICE & PUBLIC ADMINISTRATION

(specify agency or title, if applicable)


City/Urban/Regional Planning


Community Development


Crisis Prevention & Response


Economic Development


Environmental Policy


Executive & Legislative Bodies


Government Agencies


__ Federal

__ State

__ Local


Grants Administration


Housing Authorities


Immigration & Refugee Work


Judicial Administration (Specify)


Law Enforcement


Lobbying Services


Political Consulting


Public Finance Administration


OTHER (Specify)





HEALTHCARE &

SOCIAL ASSISTANCE


Addiction Counseling (Specify)


Adoption


Ambulatory Care


At-Risk Youth Services


Child Care


Chiropractic Services


Clinical Research


Crisis Counseling


Dentistry


Disability Services


Emergency Services


Family Counseling


Family Planning


Global Health


Healthcare Administration


Health Education


HIV/AIDS Education & Services


Home Healthcare & Hospice


Medical Research


Mental Health


Nursing Care – Other (specify)


Nursing/Nurse Practitioner


Nutrition


Outpatient Care


Peace & Conflict Resolution


Physicians (specify)


Public Health


Social Work


Vocational Rehabilitation


Women’s Services & Support


General Youth Services


OTHER (Specify)







INFORMATION & COMMUNICATIONS


Advertising


Broadcast Communications


Computer Programming


Information Technology


Journalism


Language Interpretation


Marketing (Specify)


Public Relations


Publishing (Specify)


Telecommunications


Television Production


Video Production


Web Development


Writing & Editing


OTHER (Specify)




OTHER CAREERS

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PC-DP-969.1.2 (Rev. 02/07)

File Typeapplication/msword
File TitleSponsored by the Peace Corps Office of Returned Volunteer Services
AuthorTamara Webb
Last Modified ByCaroline Allen
File Modified2007-02-12
File Created2007-02-12

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