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Peace Corps Request For Volunteer - Youth Development Project
Peace Corps Request For Volunteer - Youth Development Project
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__Email address:
CONTACT INFORMATION
Head of organization (director, manager, etc)
Name:
Home telephone:
Mobile:
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(year)
male
female
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Give information about the most recent projects implemented by your organization?
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Has your organization have experience with Peace Corps Volunteer in the past? If yes, please specify
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Which area do you expect help from Peace Corps Volunteer?
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How do you see your role as a host organization in hosting and working with Volunteer?
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Please provide us with the information on computer and Internet access available in your community
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How will the organization, as well as youth in the community, benefit from collaborating with a
Volunteer?
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When would you prefer the volunteer to start working at your organization?
December 2012
June 2013
How did you learn about the PC YD Program and opportunities to have a Volunteer? (Please, tick
one)
Newspaper ___ List serve ___ Other PCVs __ PC staff __Other organizations__
Other sources (please specify) _______________________________________
E. REQUIRED SIGNATURE
Head of organization:
Name
Signature
Date
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Date
Reviewed:
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YD Program Manager
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Date