1 Start 2 Preview 3 Complete Application Overview The UA Coverdell application consists of an online application form, short response questions, essay responses, your resume and signed copies of all of your Peace Corps Descriptions of Service. To submit your application form you will need to complete the form and upload all attachments in one session. Please follow the steps below in preparing your application. Download and review the application form before assembling the documents you need to complete your responses. Prepare essay responses and your resume on your local computer. Save essay and resume files as a doc, docx or pdf for uploading. Format your file names with your last name, e.g. Doe_J_resume. Scan and save each DOS as a single PDF. A signed DOS is preferred. If you have not yet completed your Peace Corps service, you may submit a draft or unsigned copy. If selected as a Fellow, a signed copy of the final DOS must be submitted prior to the start of classes. Upload a single DOS for each tour of Peace Corps service you had. When submitting information in the form, insert the cursor in the form box and enter or paste your responses. Save a copy of your application to your own files, either downloading or taking screen shots of your application. You will receive an automatic acknowledgement upon successful submission of your application. The Coverdell Fellows office will email you within a week of submission to confirm that we have received it. APPLICANT Name (Last, First, MI) Street address City/State or Country Email Phone Your blog, LinkedIn, or other professional sites you share Residency status Indicate expected residency for tuition purposes Arizona Non-resident WICHE WRGP Not sure Alternate contact If internet or phone access is limited, please provide an alternate contact name, email, and/or phone. If abroad, expected date of return to U.S. mm/yyyy ACADEMIC PROGRAMPlease indicate your academic plans at the University of Arizona. List the academic program(s) you are applying to. Department or School Concentration(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.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 Education List location of the program you will attend. Exclusively online programs are not eligible for the program. Start date - None -Summer 2018Fall 2018Spring 2018Other 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 UA program 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(s) Major field of study Minor field of study Major undergraduate GPA and basis (e.g. 3.5/4.0) Cumulative 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 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. 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 SERVICE Describe any other significant service, such as Peace Corps Response, 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 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. 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 your responded, including your approach to gathering, mobilizing and utilizing resources. Evaluate the experience in terms 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. 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. 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 a doc, docx or pdf. Please label with your name and description, e.g. Doe_J_essays.Files must be less than 500 KB.Allowed file types: pdf doc docx. 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: rtf pdf doc docx. 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, you may submit an unsigned draft. A signed copy of the 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 DOS Files must be less than 2 MB.Allowed file types: jpg jpeg pdf. Upload another DOS Files must be less than 2 MB.Allowed file types: jpg jpeg 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
