1 Start 2 Preview 3 Complete APPLICANT Last Name * First Name * Middle Name Street address (permanent residence) City (permanent residence) State (permanent residence) Country Zip Code Email * Phone Your blog, LinkedIn, or other professional site you wish to share (if applicable) Residency status Residency for tuition purposes Arizona Non-resident WICHE WRGP Alternate contact If internet or phone access is limited, please provide an alternate contact name, email, and/or phone. Expected date of return to U.S. If abroad, give expected date of return (mm/yyyy) ACADEMIC PROGRAMPlease indicate the academic program(s) and degree you are applying to at UArizona Department or School Academic Program(s) Please indicate the degree(s) you intend to seek as a Coverdell Fellow. The Academics page lists programs by college and degree for your reference. Degree M.A. M.B.A. M.D.P. M.E.P.N. M.Ed. M.L.A. M.P.A. M.P.H. M.P.P. M.S. Ph.D. D.P.H. Dual Degree Other Campus Tucson Phoenix area programs UA South Borderland Secondary Education Program List location of the program you will attend. UA Online programs are ineligible for Coverdell. Start date - None -Summer 2021Fall 2021Other What semester is your expected start date as a Coverdell Fellow? Summer starts are limited to Teach Arizona and Nursing. Expected graduation date (mm/yyyy): Academic plan Briefly describe your primary focus, research or study interest(s) and potential faculty advisor(s). Explain why this UArizona program is a good fit for your interests and goals. ACADEMIC BACKGROUND Previous degrees awarded B.A. B.S. M.A. M.B.A. M.D.P. M.Ed. M.L.A. M.P.A. M.P.H. M.S. Ph.D. E.D.D. D.P.H. J.D. R.N. Other Select all degree(s) previously awarded. Date highest degree was awarded (mm/yyyy) Institution that awarded your degree Major field(s) of study Minor field of study Cumulative undergraduate GPA Major undergraduate GPA Cumulative GPA graduate studies Academic honors/awards LANGUAGE PROFICIENCYIdentify your oral language proficiency (other than English) in the following languages using novice, intermediate, advanced or superior designations. Spanish - None -NoneNoviceIntermediateAdvancedSuperior French - None -NoneNoviceIntermediateAdvancedSuperior Arabic - None -NoneNoviceIntermediateAdvancedSuperior Other Indicate your proficiency in other languages you speak. Proficiency - None -NoneNoviceIntermediateAdvancedSuperior Other Indicate your proficiency in other languages you speak. Proficiency - None -NoneNoviceIntermediateAdvancedSuperior PEACE CORPS SERVICEThe following questions pertain to your eligibility for Coverdell Fellows and your Peace Corps experience. Country of service * How many months did you serve in-country? * 0-6 months 7-12 months 13-18 months 19-25 months 26 months or more Start of service (swearing in date) * mm/yyyy Conclusion of service (COS date) * mm/yyyy Sector/Program/Track Identify your primary service sector and assignment. Peace Corps project(s) and special circumstances Briefly summarize your primary project in this country of service. If you did not complete two full years of service or extended your service, please briefly discuss. Paul D. Coverdell Fellows Eligibility * Selectcompleted two full years of servicecompleted two full years and extended servicecompleted two full years minus up to 90 days emergency leavegranted "early close of service"granted interrupted service status as a result of circumstances beyond your controlmedically separated as a VolunteerPC Response or Global Health Service volunteer who complete 12 months of service in one or more tours Identify your eligibility status at the completion of your Peace Corps service. SUBSEQUENT PEACE CORPS SERVICE Please complete the following if you completed a second tour of Peace Corps service. Country of service Start of service (swearing in) mm/yyyy Conclusion of service mm/yyyy Program/track Identify your primary service assignment. Peace Corps project(s) and special circumstances Briefly summarize your primary project in this country of service. If you did not complete two full years of service or extended your service, please briefly discuss. Status for Paul D. Coverdell Fellows Eligibility Selectcompleted two (or more) full years of servicecompleted two full years minus up to 90 days emergency leavewas granted "early close of service"was granted interrupted service status as a result of circumstances beyond your controlwas medically separated as a Volunteer Identify your status at the completion of your Peace Corps service. OTHER NATIONAL SERVICE Describe any other significant service, such as Crisis Corps, AmeriCorps, VISTA, Mercy Corps, military service etc. Provide dates of service, location and primary assignment(s). ESSAY QUESTIONSPlease respond to each writing prompt with no more than one page, single-spaced, per prompt. Use Times New Roman, 12-point font, and one-inch margins for each response. Please title your file using the format: Last Name_Essays etc. You may upload files as doc, docx or pdf files. Combine or scan the three essays into a single document to upload. Essay 1: Reflect on a specific challenge you experienced during your volunteer experience in Peace Corps or in other international service. Describe a specific situation, how you responded, including your approach to gathering, mobilizing, and utilizing resources. Evaluate the experience in terms of your personal development and community results at the point of writing this reflection. How did this experience affect the remainder of your service and your attitude towards international/domestic development? What did you personally learn? We are interested in your reflections, persistence, and lessons learned. Essay 2: Describe a specific situation in which you had a leadership role OR a specific situation in which you were a key part of a well-working team. This specific situation can be from your Peace Corps service or another position you have held in which you have gained valuable leadership or teamwork experience. What was the situation? What was your role and why were you in it? What challenges did you have to overcome? What did the group achieve? We want to get an idea of your leadership or teamwork experience and key lessons learned that affect your future direction. Essay 3: The third question has three parts to help us learn more about your goals. What are your long-term career goals? If you do not yet have clear career goals, you can focus on populations with which you would like to work and problems/opportunities with which you would like to be involved. What do you want to study at the UA and why do you want to study it? How will this move you towards your goals? What makes you a good fit with the Tucson community and the Coverdell Fellows program? How will your experiences to date integrate with your academic and professional goals? Please be specific about your strengths and skills that will allow you to benefit an underserved community in Southern Arizona. Your response should reflect your awareness of regional issues and opportunities. Upload essays Combine your three one-page essays into a single file and upload as pdf file. Please label with your name and description, e.g. LastName_FirstName_essays.Files must be less than 3 MB.Allowed file types: pdf. RESUMEThe resume is used for both review purposes, and is also distributed to potential agencies. Your resume should reflect your education, honors, awards, work experience, outcomes and accomplishments, and specific skills and credentials that qualify you for the type of work/service that interests you. Applicants selected as Fellows will have an opportunity to update their resume. The Peace Corps RPCV Career Center and your former university or college are good sources of information for developing a professional resume. If you are submitting more than one page, please scan into a single document to upload. Upload your resume here Files must be less than 2 MB.Allowed file types: pdf. PEACE CORPS DESCRIPTION OF SERVICE (DOS)Please upload your DOS for each country of Peace Corps service in a single pdf document. If you no longer have a copy of your DOS, you may contact U.S. Peace Corps for assistance. If you have not yet completed your service or do not yet have your DOS, please upload the temporary letter issued by Peace Corps upon your evacuation or a signed letter from a member of your Peace Corps country's leadership team (optimally the Country Director). A signed copy of the DOS document is required of all matriculating Fellows by the start of classes. Please identify your file with your last name and the country of service e.g. Doe_J_DOS_Rwanda. Please scan multi-page documents into a single document to upload. Upload Signed DOS Files must be less than 3 MB.Allowed file types: pdf. Upload additional DOS or letter Files must be less than 2 MB.Allowed file types: pdf. HOW DID YOU FIND US?Please let us know how you found information on the UA Coverdell Fellows program. Multiple choices are permitted. Select all that apply. PeaceCorps.gov COS event UA Coverdell Fellows Website A UA departmental website UA staff or faculty A current Fellow or alumnus Other Leave this field blank
