PEACE CORPS PREP STUDENT APPLICATION
Name: _______________________________ Student ID: _____________ Date: __________
Phone: ____________________ Email: ____________________________________________
Major(s): _____________________________ Minors(s): ______________________________
Expected Graduation (month and year): _____________________ Cumulative GPA: ________
1. Training and experience in a specific work sector
Please check the box of the sector in which you would like to serve:
Education
Health
Environment
Agriculture
Youth in Development
Community Economic Development
Note: Actual Peace Corps assignments are based on local needs, and thus may or may not align
seamlessly with your qualifications. Flexibility is key to the Peace Corps experience!
(1) Coursework. List the number and name of 3 courses in this same sector that you plan to
take, and the semester in which you plan to take them (it is fine if you’ve already taken
them).
Note: The courses you include on this application may change, but it’s good to have a plan.
1. Course: _____________________________________ Semester and year: _____________
2. Course: _____________________________________ Semester and year: _____________
3. Course: _____________________________________ Semester and year: _____________
(2) Hands-on experience in that same sector (must total at least 50 hours).
Describe what you plan to do:
2. Foreign language skills
Requirements depend upon desired Peace Corps volunteer placement site. (1) Spanish-speaking
countries two 200-level courses. (2) French-speaking countries one 200-level course in any
Romance Language. (3) Everywhere else no explicit requirements, but language skills are a plus.
If you intend to learn a foreign language, please list which one: ____________________
List the top 2 foreign language courses you plan to take:
Course 1: ________________________________________ Semester and year: _____________
Course 2: ________________________________________ Semester and year: _____________
Or describe your alternative learning process (e.g., native speaker):
3. Intercultural competence
List the core course and two approved electives you plan to take:
Core course: _______________________________________ Semester and year: _____________
Elective 1: _________________________________________ Semester and year: _____________
Elective 2: _________________________________________ Semester and year: _____________
4. Professional and leadership development
1. Professional resume feedback: When do you plan to meet with Career Services for a one-on-
one resume review? Month and year: ______________________________________
2. Professional interview prep: When do you plan to meet with Career Services for an interview
workshop? Month and year: ______________________________________
3. Describe a leadership experience that you intend to pursue:
For example, leading a work or volunteer project, serving on the executive board of a student
organization, or organizing a big campus event.
______________________________________ _________________
Signature of Student Date
______________________________________ _________________
Signature of Peace Corps Prep Coordinator Date
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