Form PC-1502 Peace Corps Volunteer Application
Peace Corps Volunteer Application
PC-1502 PCV Application_2022
Pecace Corps Volunteer Application
OMB: 0420-0005
Peace Corps Application
OMB Control Number: 0420-0005
Expiration Date: 12/31/2022
Peace Corps Employee History 6
Peace Corps Volunteer Service History 7
Declaration of Domestic Partnership 8
Peace Corps Prep Information 15
Privacy Act Statement
The Peace Corps, a U.S. government
agency, is required by the Privacy Act of 1974 (5 U.S.C. 552a) to
advise you of the following information regarding this application.
The Privacy Act addresses the federal government’s use of
certain personal information in agency files.
A. This
application is authorized by the Peace Corps Act (22 U.S.C. 2501 et
seq.) as amended.
B. The information you provide will be
used to evaluate your suitability and qualifications to serve as a
Peace Corps Volunteer.
C. This information may be used for
the routine uses described in the Privacy Act, 5 U.S.C. 552a, and the
Peace Corps' published Routine Uses, summarized in Peace
Corps' System of Records.
D. The completion of this
application is voluntary. However, failure to complete the
application will result in the Peace Corps’ inability to assess
your qualifications and may preclude your consideration for the Peace
Corps.
E. The Peace Corps asks for your Social Security
number because the Peace Corps Act, 22 U.S.C. 2519, requires us to do
a background check on all Volunteers. The Peace Corps will also use
it to ensure our records are accurate for tax and other financial and
accounting purposes.
Paperwork
Reduction Act Burden Statement:
Public reporting burden for this
information collection is estimated to average one hour. This
includes the time for reviewing instructions and completing the
information. This is voluntary information collection. An agency may
not conduct or sponsor, and persons are not required to respond to, a
collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions
for reducing this burden, to: the FOIA Officer, Peace Corps, 1275
First Street NE, Washington, DC 20526.
PLEASE NOTE: The
Peace Corps does not discriminate based on race, color, religion,
sex, national origin, age (over 40), disability, sexual orientation,
gender identity, gender expression, marital status, parental status,
political affiliation, union membership, genetic information, or
history of participation in the EEO process, any grievance procedure,
or any authorized complaint procedure. Anyone who feels he or she has
been discriminated against should contact the Office of Civil Rights
and Diversity, 202.692.2139, [email protected],
the FOIA Officer, Peace Corps, 1275 First St NE, Washington, D.C.
20526.
Start Your Application
Estimated completion time: 55-60 minutes.
Thank you for your interest in serving as a Peace Corps Volunteer. Should you become a Peace Corps Volunteer, you will be undertaking an exciting and life-changing experience. To be eligible to serve in the Peace Corps, you must
• be a U.S. citizen (or have made satisfactory arrangements to be naturalized prior to your service) and
• be at least 18 years old prior to your start of service.
In addition to these basic
eligibility requirements and the Peace Corps’ overall
evaluation of applicant suitability for service, Peace Corps service
is dependent on applicants meeting certain standards relating to
medical and legal status eligibility.
OMB Control Number: 0420-0005
Expiration Date: 12/31/2022
You can have only one active Peace Corps Volunteer application. Within the application, you will have the opportunity to tell us if you'd like to be considered for other positions and more about the ones that interest you most.
Citizenship
*Are you a U.S. citizen (by birth or naturalization)?
Yes
No
Naturalization is the manner by which someone who was not born in the United States voluntarily becomes a U.S. citizen. Residency is not a qualifier for eligibility.
If you are a naturalized U.S. citizen, please note that some countries prohibit Volunteers with dual citizenship from utilizing their U.S. passports. However, to ensure Volunteers’ safety and security, the Peace Corps requires all Volunteers to utilize their U.S. passport during service. Before applying to a country in which you have dual citizenship (including nationality bestowed by place of birth), please carefully research any restrictions that may preclude you from service in that country.
* Do you expect to become a naturalized citizen within three months of the application deadline?1
Yes
No2
Age Requirement
* Will you be at least 18 years of age prior to the anticipated start date of service?
Yes
No3
General Questions
*How did you hear about us? (Check all that apply)
Personally know someone who is/was a Peace Corps Volunteer
Heard of someone who is/was a Peace Corps Volunteer
Saw or heard an advertisement
Saw or heard on news
Saw or heard on social media
Saw on internet search
Visited Peace Corps website or social media
Connected with a Peace Corps recruiter or staff member
Heard about while in college/university (from a professor, advisor, career services, Peace Corps Campus Ambassador, etc.)
Participated in or heard from Peace Corps Prep (certificate program available to undergraduate students at partner colleges and universities)
Heard about while in high school (from a teacher, guidance counselor, etc.)
Was referred by another organization (such as AmeriCorps)
Other
I prefer not to respond
Please expand on your answer. For example, if you selected “Saw or heard on social media” or “Was referred by another organization,” please share the social media channel or organization name.
Contact Information
You must provide your full name as it would appear on a legal document (e.g., passport, driver’s license, birth certificate). Please use one permanent email address throughout the application process, as opposed to a school or work email address.
*First name (your legal/given name)
Middle name (not initial)
*Last name
Suffix (Jr., Sr., etc.)
Preferred name
*Mobile phone
Other phone
*Permanent email address4
*Social Security number (###-##-####)
*Please reenter your Social Security number (###-##-####)
*Sex
Male
Female
*Date of birth (m/d/yyyy)
Current Mailing Address
You must be able to collect mail from this address in a timely manner following your application submission.
*Address line 1
Address line 2
*Country
*City
*State/Region/Province
*Zip/Postal Code
Upload Your Resume
Your resume is your opportunity to introduce yourself as a serious applicant for Peace Corps service. Moreover, your resume will be assessed to determine your qualifications for the position for which you are applying.
When creating your resume, we recommend the following:
• Review the required and desired skills for the position to which you are applying and tailor your resume to include relevant experience.
• Be comprehensive. Your resume should be one to three pages in length and should include relevant work, volunteer, and leadership experience. If you are a recent graduate, list relevant high school and/or college volunteer or work experience.
• Quantify your experiences. Include the number of hours spent tutoring, the length of a study abroad experience, or the time commitment for volunteer and internship experiences. For example: ABC Nonprofit, Intern: January – May 2019, 15 hours/week.
• Detail your education to include your degree, major, minor, GPA, and date of graduation or expected graduation, if applicable.
• Upload your transcripts as a supplement to the application in the applicant portal, which can be accessed after submitting an application.
By uploading your resume, you agree to permit the Peace Corps to share the information in it with host country agencies and counterparts, other Volunteers, and others the Peace Corps deems necessary or appropriate in connection with your application or possible future Peace Corps service.
*Select Resume/CV
Add resume/CV
Peace Corps Employee History
* Are you currently working or have you ever worked for the Peace Corps? (Please select all that apply):
Yes, as a US Direct Hire employee (domestically or overseas)
Yes, as a personal services contractor
No, I have never worked for Peace Corps
Peace Corps Volunteer Service History
*Have you ever served as a Peace Corps trainee, Peace Corps Volunteer, or Peace Corps Response Volunteer?
Yes
No
* Are you currently serving or have you been a Peace Corps trainee, Peace Corps Volunteer, or Peace Corps Response Volunteer within the past five years?5 6
Yes
No
Peace Corps Staff Reference7
Because you served within the past five years, you are required to submit a supervisory reference from a Peace Corps staff member from your country of service. If you are placed under consideration for an assignment, we will contact your reference at that time.
*Reference name (first and last name)
*Most recent country of service
*Email address
Couples
The Peace Corps makes efforts to place married couples and domestic partners who wish to serve together. Please be aware that the opportunities to place couples are more limited than those for individual candidates. In order to serve together, both spouses/domestic partners must apply at the same time and qualify for assignments in the same country.
*Are you married or in a domestic partnership, or planning to be married or in a domestic partnership at the time you begin your service?
Yes
No
Spouse/Domestic Partnership8
*First name of spouse/domestic partner
Middle name of spouse/domestic partner:
*Last name of spouse/domestic partner:
*Are you planning to serve with your spouse or domestic partner?
Yes, I am planning to serve with my spouse
Yes, I am planning to serve with my domestic partner
No
Declaration of Domestic Partnership9
Please read and confirm the statements below to support your indication that you plan to serve with your domestic partner.
My partner and I:
are each other’s domestic partner and intend to remain committed to one another indefinitely,
share responsibility for a significant measure of each other’s common welfare and financial obligations,
are not married to, joined in civil union with, or domestic partners with anyone else,
are not related in a way that would prohibit legal marriage in the state in which we reside.
agree to notify the Peace Corps of any dissolution of the domestic partnership not later than 15 days after the date of dissolution of the domestic partnership,
understand that falsification of information within this affidavit may constitute a criminal violation under 18 U.S.C. 1001 and may lead to disciplinary action, and10
have a common residence, and intend to continue the arrangement; or
would have a common residence, but are prevented from having one due to the following circumstances (please explain below). 11
*Explanation if you do not currently share a common residence:
*I declare under penalty of perjury that the preceding is true and correct.
Yes
*Signature
*Declaration date
For additional information on serving as a couple and the required legal documentation, visit peacecorps.gov/legalinfo.
Dependents
Serving as a Peace Corps Volunteer with dependents at home or elsewhere is often a challenge. For additional information on dependents, visit peacecorps.gov/legalinfo.
*Are any persons partially or totally dependent upon you for support, whether or not they are living with you?
Yes
No
Dependent Information12
*Name of dependent
*Dependent’s date of birth (m/d/yyyy)
*Do you have an additional dependent?13
Yes
No
Military Obligations
*Are you a veteran or currently serving in the military?
Yes
No
* Do you have any military, reserve, or National Guard obligations?14
Yes
No
Military Obligation Information15
* To what military/reserve branch or unit do you have an obligation? [text box]
* What is the nature of the obligation? [text area]
* When will you fulfill this obligation? [date/calendar]
For more information regarding military obligations, visit peacecorps.gov/legalinfo.
Legal History
The existence of an arrest or conviction record will not automatically exclude you from consideration for Peace Corps service. When evaluating an arrest or conviction, the Peace Corps considers the nature of the offense, how long ago the offense occurred, whether you were acquitted of the offense, and other relevant facts or indications of rehabilitation. If you are ultimately rejected for a Peace Corps Volunteer position because of an arrest or conviction, you can request a review of the decision and/or reapply at a later date.
For more information go to
peacecorps.gov/legalinfo.
It is your responsibility to
inform the Peace Corps promptly throughout the application process,
up through the start of service, of all new arrests, charges,
citations, misdemeanors, and felonies (including ALL drug- or
alcohol-related legal incidents) and any other changes to the
information provided below, including the disposition of existing
offenses. Do not include minor traffic violations, citations, or
parking tickets.
*Are you currently involved in any court proceedings (civil or criminal) that will require your participation (as a plaintiff, defendant, or witness) during the time you would be serving as a Peace Corps Volunteer?
Yes
No
* All Peace Corps invitees must undergo a background check. If you fail to disclose information about your legal history, regardless of whether a citation, charge, arrest, or conviction has been sealed, dismissed, or expunged from your record, the Peace Corps may revoke your invitation to serve or disqualify you from Peace Corps service. Have you ever been cited for, arrested, charged with, or convicted of any offense? (Exclude minor traffic violations, traffic citations, and parking tickets.)
Yes
No
Legal Offense16
*Type of offense (e.g., DUI, possession of marijuana, petty theft)
*Date of incident (m/d/yyyy)
*Location of incident
*Give a complete narrative explanation of the circumstances surrounding the incident. The narrative should comprehensively explain what happened leading up to the incident, what happened during the incident, and how the incident was resolved.
*Was there a final court judgement?
Yes
No
Final Court Judgment17
*List all penalties including sentence, probation, community service, fines or other penalties imposed:
*Judgment date (m/d/yyyy)
*Current status or disposition18:
*Are you currently on probation of any kind?
Yes
No
Probation19
*What are the current requirements of your probation?
*Please state when and how your probation obligations will be met:
Additional Incidents
*Do you have any other legal incidents to report?20
Yes
No
You are required to provide your court documents. Please upload them by clicking on "Edit your profile" in your applicant portal after submitting your application.
Drug and Alcohol Policy
An applicant with any drug-related conviction or with a conviction for public intoxication, driving under the influence (DUI), or driving while intoxicated (DWI), with a conviction for reckless driving after having been initially charged with DUI or DWI, or who has a similar alcohol-related conviction, will not have his or her application for Peace Corps service considered until 12 months has passed from the date of the incident. The Peace Corps may deem an applicant unsuitable for Peace Corps service due to drug abuse, problem drinking, and/or alcohol abuse.
An applicant who, at any time on or prior to the day of departure for Peace Corps service, is arrested for any drug offense or for public intoxication, DUI, DWI, or any similar alcohol-related offense will have any pending application or invitation for Peace Corps service withdrawn. If the charges are dismissed, an applicant whose application or invitation for Peace Corps service was terminated may immediately reapply. If the applicant is convicted of the offense, he or she may reapply after 12 months from the date of the incident.
Peace Corps has a zero tolerance policy regarding a Volunteer’s or Trainee’s involvement with drugs. Involvement with drugs includes, but is not limited to, the direct sale, distribution, acquisition, purchase, possession, smuggling, and use of illicit drugs, including marijuana, and any drug not authorized by the Peace Corps for medical purposes. A Volunteer or Trainee found to be involved with drugs in a manner not authorized for medical purposes, in any way in any country, will be administratively separated immediately. The Peace Corps enforces this strict policy not only because the cultivation, manufacture, traffick, and use of drugs, including marijuana, is illegal in most countries, but also because drug involvement by Volunteers and Trainees in any country could seriously jeopardize an entire Peace Corps country program, as well as the safety and health of other Volunteers and Trainees. Moreover, it is a violation of the trust Peace Corps has placed in Volunteers and Trainees upon their selection and entry into public service. Applicants are required to sign the Peace Corps Drug Free Service Agreement reflecting this policy. Any applicant who fails to sign this agreement will not receive further consideration.
The Peace Corps recognizesthat excessive use of alcohol, including binge drinking, may compromise Volunteer and Trainee health, safety and security, lead to behavior that discredits the Peace Corps or the individual Volunteer or Trainee, or affect the Volunteer’s or Trainee’s performance in an assignment. Examples of such behavior include, but are not limited to: public intoxication, drinking while at a work site, failure to appear for work or training due to intoxication or hangovers, and verbal or physical aggressiveness while under the influence of alcohol. Such inappropriate or unsafe behavior or inability to perform adequately in the assignment may be grounds for disciplinary action, including administrative separation. Volunteers and Trainees who choose to drink are responsible for their conduct at all times; and must always consider host country laws and culture and the effects of their conduct on their service and the in-country program.
I confirm that I have read the Peace Corps Drug and Alcohol Policy.
Yes
Have you been cited for, arrested, charged with, or convicted of any drug or alcohol related offense in the last five years?
Yes
No
Intelligence Background
The Peace Corps has a longstanding
policy excluding individuals who have engaged in intelligence
activity or related work or who have been employed by or connected
with an intelligence agency from Peace Corps Volunteer service,
either for a specific period of time or permanently, depending on the
agency. For more information, including definitions of “intelligence
activity” and “intelligence agency,” visit
peacecorps.gov/legalinfo.
If you are a current or former
employee of the Central Intelligence Agency (CIA), you
are permanently ineligible for Peace Corps Volunteer
service. If you are currently or were formerly employed by another
intelligence agency, you are ineligible for Peace Corps Volunteer
service for at least 10 years from the end date of such employment.
In addition, you may be disqualified for service because your
background or history discloses a substantial connection with an
intelligence activity or related work other than through employment.
Even family relationships to an employee of an intelligence agency
may be considered a disqualifying connection. The duration of the
disqualification will ordinarily not exceed 10 years and will depend
on the nature of your involvement in or relationship to intelligence
activities or agencies.
You should also be aware that, if
you serve as a Peace Corps Volunteer, you may be ineligible for
employment with U.S. government intelligence agencies for a specified
period following your service as a Volunteer.
If you or an
immediate family member works for or has worked for the CIA or the
National Security Agency, go to peacecorps.gov/legalinfo for
further instructions before answering the question below.
In
all other cases, if you indicate that either you or a family member
has been employed by or connected with an intelligence agency, or
engaged in intelligence activity or related work, a Peace Corps
representative will contact you after your application is submitted
to obtain additional information and determine your eligibility for
Peace Corps Volunteer service.
*Have you or an immediate family member ever been employed by or connected with an intelligence agency, or engaged in intelligence activity or related work?
Yes21
No
Education
*What is the highest level of education you have achieved, or if currently enrolled, what is the highest level of education you will have received by your date of availability for Peace Corps service? If you are applying as a senior in college and will complete your degree prior to Peace Corps service, choose “College graduate” from the list below.
Choose 22
Please provide the information listed below for all education institutions you attended, starting with the most recent school. If you have not taken higher education coursework, please select “N/A” from the list of schools below. If you don’t see your major on the list, please choose the one that most closely reflects your area of study.
*School name (schools listed by official name) 23
If school not listed, provide name:
Major
Second Major
Minor
GPA
Type of degree:
Date degree received or expected (mm/yyyy)
*Did you attend any additional schools? 24
Yes
No
Peace Corps Prep
Peace Corps Prep is a certificate program available to undergraduate students at partner colleges and universities.
* Are you a program participant who will have earned a Peace Corps Prep certificate prior to graduation?
Yes
No
Peace Corps Prep Information25
*Please select the Peace Corps Prep school from the list: 26
If you selected yes above, please upload your Peace Corps Prep Exit Checklist, signed by your program coordinator, so that the Peace Corps can review how you built the required competencies. You may upload the checklist now or after submitting your application.
Foreign Language Skills
In the countries where the Peace Corps serves, many languages are spoken, including French and Spanish. To be considered for a French- or Spanish-speaking country, prior experience with that language is required.
Please
list any languages with which you have experience, beginning with the
language(s) that are most relevant for the position for which you are
applying. If you do not see the language(s) you speak in the list
provided, please select the “other” option at the bottom
of the list and write in the language.
Language:27
Please provide the name of the language:28
In order to assess your language skills, please review the list below and check all that apply.
□ Native/bilingual speaker
□ Completed college-level Intermediate II (e.g., SPAN 202) in the past 6 years
□ Score of 4 or better on the high school Advanced Placement exam in the past 8 years
□ Score of 5 on the high school International Baccalaureate Assessment in the past 8 years
□ Completed college-level Elementary II (e.g., FREN 102) in the past 6 years
□ Completed 4 years of high school coursework in the past 8 years
□ Proficiency as demonstrated by a score of 50 or greater on the College Level Examination Program exam in the past 6 years
□ Score of Novice-High or greater on official American Council on the Teaching of Foreign Languages Oral Proficiency Interview in the past 6 years.
□ Other
If you selected college course work or the completion of a proficiency exam from the list above, please upload your transcript (official or unofficial) or proficiency exam results. You may upload the document now or after submitting your application.
<<Add file>>
*Do you have an additional language?29
Yes
No
Additional Information
*If not selected for this assignment, would you like to be considered for other assignments?
Yes30
No
Please indicate the geographic areas for which you would like to be considered.31
Please indicate the sectors for which you would like to be considered.32
If you would like to provide additional information regarding your preferences, please do so in the space provided.
*Please provide your earliest availability date:
Motivation Statement
*Peace Corps service presents major physical, emotional, and intellectual challenges. In the space below, please provide a few paragraphs explaining your reasons for wanting to serve as a Peace Corps Volunteer and how you plan to overcome the various challenges associated with Peace Corps service.
We will use this writing sample to assess your professionalism and maturity as a candidate. Please spend time editing your motivation statement. We recommend that you draft it in a separate document and cut and paste it into the box below. (4,000 characters, or approximately 500 words)
References
In order to learn more about your success in previous experiences, the Peace Corps requests three references. If you are placed under consideration for an assignment, we will contact your references at that time.
Your references must be from the following categories. A current or recent job supervisor is strongly preferred. You may only submit one close friend as a reference.
Current or previous employment supervisor
Current or previous volunteer work supervisor
Professor/Advisor
Mentor
Close friend (the person cannot be a relative)
Reference 1
*Reference type33
*Reference name (first and last name)
*Email address
*Reference telephone
Reference 2
*Reference type34
*Reference name (first and last name)
*Email address
*Reference telephone
Reference 3
*Reference type35
*Reference name (first and last name)
*Email address
*Reference telephone
Optional Information
By providing this information, you will help the Peace Corps advance its intercultural, diversity, equity, inclusion, and accessibility (ICDEIA) goal to recruit and retain a Volunteer corps that reflects the diversity of the United States. Your response will not affect consideration of your application. This information is optional.
The information requested in this section is covered by the Privacy Act Notice
Ethnicity
*Are You Hispanic or Latina/o? (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
Yes
No
I prefer not to respond
Race
*Please check one or more of the classifications below.
American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America).
Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American. A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
I prefer not to respond.
*What was your sex assigned at birth?
Female
Male
Other term (please specify)
I prefer not to respond
*How do you currently describe yourself?
Female or woman
Male or man
Non-binary or gender non-conforming
Two-spirit
None of these
I prefer not to respond
*Which of the following best represents how you think of yourself?
Bisexual
Gay or lesbian
Straight, that is not gay or lesbian
Two-spirit
Something else
I don’t know
I prefer not to respond
Disability
*Are you an individual with a disability?
Yes
No
I prefer not to respond
Family’s Education Level
*What is the highest level of education completed by your mother?
Less than a high school diploma
High school diploma or the equivalent, such as GED
Some college but no degree
Associate Degree in college
Bachelor’s Degree
Master’s, professional school, or doctoral degree
Don’t know
This question does not apply to me.
I prefer not to respond
*What is the highest level of education completed by your father?
Less than a high school diploma
High school diploma or the equivalent, such as GED
Some college but no degree
Associate Degree in college
Bachelor’s Degree
Master’s, professional school, or doctoral degree
Don’t know
This question does not apply to me.
I prefer not to respond
Income Level
*Which category represents the total combined income of all members of your family during the past 12 months? This includes money or income received by members of your family who are 15 years of age or older.
$24,999 or less
$25,000 to $39,999
$40,000 to $59,999
$60,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 or more
Don’t know
I prefer not to respond
*How confident are you that you could come up with $400 if an unexpected expense arose within the next month?
Not at all confident
Slightly confident
Somewhat confident
Very confident
Extremely confident
Don’t know
I prefer not to respond
Certification
I certify that all of the statements
made on all pages of this application, including attachments, are
true, correct, and complete to the best of my knowledge and are made
in good faith. I understand that any misleading, inaccurate, or
incomplete information may be cause for disqualification or
termination from Peace Corps service. Any intended omission or
intentionally false statement may constitute a violation of federal
and state laws and subject you to severe civil and criminal
penalties, including fines and/or imprisonment pursuant to 18 U.S.C.
1001.
I also understand it is my responsibility
throughout the application process, up through the start of service,
to inform the Peace Corps promptly of any changes to the information
provided here. Failure to do so may be cause for disqualification or
termination of Peace Corps service.
*Signature
Review
Each section of the application is available for review and edits.
1 This question appears if applicant responds “No” to preceding question.
2 A “No” response redirects the applicant out of the application: Thank you for your interest in the Peace Corps. The information you entered suggests you may not meet our eligibility requirements at this time.
3 A “No” response redirects the applicant out of the application: Thank you for your interest in the Peace Corps. The information you entered suggests you may not meet our eligibility requirements at this time.
4 Email field has validation built in making sure there is something before and after the @ sign, that there IS an @ sign, a .something at the end) but it isn't enabled to also support confirmation validation (where the same thing must be entered exactly the same way twice).
5 This question appears if applicant responds “Yes” to preceding question.
6 This question appears if applicant responds “Yes” to preceding question.
7 This section appears if applicant responds “Yes” to preceding question.
8 This section appears if applicant responds “Yes” to preceding question.
9 This section appears if applicant responds “Yes, I am planning to serve with my domestic partner.”
10 Applicant selects one to describe living arrangement.
11 Text area provided for explanation.
12 This section appears if applicant answers “Yes” to preceding question.
13 Applicant can list additional dependents.
14 This question appears if applicant responds “Yes” to preceding question.
15 The next three questions appear if applicant responds “Yes” to preceding question.
16 Section appears if applicant answers “Yes” to preceding question.
17 Section appears if applicant answers “Yes” to preceding question.
18 Applicant chooses from the following: guilty (including expunged/sealed), dismissed, diversion program, not guilty, deferred judgments/suspended sentence, or other.
19 Section appears if applicant answers “Yes” to preceding question.
20 Applicants can report up to five legal incidents on the Peace Corps application. After five legal incidents, the following instructions and question appear: “If there are additional legal incidents in your history, please check the box below. The Legal Eligibility Specialist may contact you for further details.”
21 If applicant selects “Yes” a Peace Corps staff member will contact the applicant for details.
22 Applicant selects one of the following from dropdown menu: Graduate degree, Graduate study, College graduate, Incomplete college study, A.A. degree or equivalent, Technical school graduate, High school graduate/GED, Did not complete high school.
23 Applicant selects a school from dropdown menu.
24 Applicant can list up to three education institutions.
25 Section appears if applicant answers “Yes” to preceding question.
26 Applicant selects program from dropdown menu.
27 Applicant selects language from dropdown menu.
28 If applicant selects “Other” from the language drop down menu, a text box will appear.
29 Applicant can list up to three languages.
30 If applicant selects “yes,” they are asked about their preferences.
31 Applicant selects region(s) from a dropdown list.
32 Applicant selects sector(s) from a dropdown list.
33 Applicant selects one of the following from dropdown menu: Job Supervisor, Volunteer Supervisor, Close Friend, Professor/Advisor, Mentor
34 Applicant selects one of the following from dropdown menu: Job Supervisor, Volunteer Supervisor, Close Friend, Professor/Advisor, Mentor
35 Applicant selects one of the following from dropdown menu: Job Supervisor, Volunteer Supervisor, Close Friend, Professor/Advisor, Mentor
Questions with an * are required.
Words in gray only appear in the hard copy for informational purposes and do not appear in the online version.
Footnotes only appear in the hard copy for informational purposes and do not appear in the online version.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Peace Corps App_2014.9.29 |
| Subject | September 30, 2014 |
| Author | Schreiber, Ryan |
| File Modified | 0000-00-00 |
| File Created | 2023-09-04 |
© 2024 OMB.report | Privacy Policy