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Corps Fellows/USA Application
Contact Information
First Name:
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Last Name:
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Middle Name(s):
AZ Resident:
*
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Yes
No
Address Information
Street:
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City:
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State:
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Zipcode:
Email:
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Must be a valid email address (Required)
Phone:
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If currently abroad, expected date of return to U.S. (mm/dd/yyyy):
Alternate contact: (name/phone/e-mail):
Academic Plans
Degree:
Department:
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Concentration:
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If you plan a Joint Degree or Further Advanced Study please identify program:
Date you plan to begin studies
Year:
(eg 2006)
Term:
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Fall
Spring
Summer
Date you would expect to graduate (mm/yy):
Academic advisor you would like to work with if known:
Applying for :
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assistantship
extramural scholarships
FAFSA
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.
