Peace Corps Prep Student Application

Name Name First Last
E-Number
Date Date / MM / DD YYYY
Phone Phone - ### - ### ####
Email
List all majors and minors you are taking or expect to graduate with.
Expected Date of Graduation (month and year)
Cumulative GPA
Training and experience in a specific work sector
Please check the box of the sector in which you would like to serve:

Training and experience in a specific work sector
Please check the box of the sector in which you would like to serve: Education Health Youth in Development Agriculture Environment 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!
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鈥檝e already taken them).
Course name, Semester and Year
Note: The courses you include on this application may change, but it鈥檚 good to have a plan.
Hands-on experience in that same sector (must total at least 50 hours).
Describe what you plan to do:
Foreign language skills

Requirements depend upon desired Peace Corps volunteer placement site. (1) Latin America/ Spanish-speaking countries脿 two 200-level courses. (2) West Africa/ French-speaking countries脿 one 200-level course in any Romance Language. (3) Everywhere else脿 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 name, semester and year
Or describe your alternative learning process (e.g., native speaker):
Intercultural competence
List the core course and two approved electives you plan to take:
Professional and leadership development
Professional resume feedback: When do you plan to meet with EIU Career Services for a one-on-one resume review? Month and year:
Professional interview prep: When do you plan to meet with EIU Career Services for an interview workshop? Month and year
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.
For Students: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

海角大神

Peace Corps Prep Student Application

Peace Corps Prep Student Application

Foreign language skills

Intercultural competence

Professional and leadership development