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Corps Fellows/USA Application

Contact Information

First Name: *

Last Name: *

Middle Name(s):

AZ Resident: *

Address Information

Street: *

City: *

State: *

Zipcode:

Phone: *

Email: *

Must be a valid email address (Required)

If currently abroad, expected date of return to U.S. (mm/dd/yyyy):

Alternate contact: (name/phone/e-mail):

Academic Plans

Degree:

Department: *

Concentration: *

If you plan a Joint Degree or Further Advanced Study please identify program:

Date you plan to begin studies

Year:

(eg 2006)

Term:

Date you would expect to graduate (mm/yy):

Applying for :

Academic advisor you would like to work with if known:

Why are you applying to the UA?:

What is your professional goal following receipt of your degree?:

Academic Background

Previous degree(s):

Date(s) awarded:

Institution(s):

Major(s):

Minor(s):

Cumulative Undergraduate GPA:

Cumulative Graduate GPA:

Honors/Awards:

Foreign Languages

Rate your fluency in Spanish (oral / written):

Other non-English languages you know: ( Language / oral / written) :

Peace Corps Service

Dates served (mm/yy):

1st Country of service:

If you did not complete a full 2 year service, please explain:

Dates served (mm/yy):

2nd Country of service:

If you did not complete a full 2 year service, please explain:

Dates and location of any additional Peace Corps, Crisis Corps or other significant volunteer service:

Sponsor: Date: Location:

Briefly describe your assigned Peace Corps project(s):

Reflecting on Your Peace Corps Experience

Please respond succinctly to the following essay questions.

1. Why did you join Peace Corps?:

2. What was the most significant professional or personal accomplishment of your experience?:

3. What was the most difficult aspect of the experience?:

4. How did your Peace Corps experience change you?:

5. Discuss the issue of sustainability in relation to the impacts of your work in country:

6. How have you kept in touch with residents at your site since leaving your site?:

7. In what ways have you carried out the 3rd goal of Peace Corps since your return?:

Internship Interests

1. Briefly describe the type of agency and internship experience that interests you:

What objectives do you have for yourself in an internship?AreDo you prefer an internship that complements your academic study or something that you seeking a direct or indirect experience, e.g. hands on work with clients orresearch on issues impacting underserved communities?

2. What work skills, experience and assets will you bring to the internship experience?:

3. If you seeking an internship in a bilingual language environment, please describe the situation you seek:

4. Please note any transportation requirements or limitations you have for the internship:

e.g. proximity to UA, reliant on bicycle only, wish to work on the border or reservation.

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Peace Corps Fellows/USA

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Application

Your application has not been submitted

You will know your application has been submitted when you see the 'Thank you for Submitting your application' message

Corps Fellows/USA Application