Submitted by ceh0039 on Tue, 2017-07-11 13:35 Name * Student ID * Date * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Phone * Email * Major(s) * Minor(s) * Expected Graduation Date * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 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 * Education Health Environment Youth in Development Agriculture Community Economic Development Hands-on Experience * Intercultural Competence List the 1 core course and 2 elective courses that you plan to apply to the UNT Peace Corps Prep Certificate and the semester and year the course will be completed. You may include courses that you have already completed or courses that you plan to complete. Course TypeCourse TitleSemester and Year Core Courses Course Type Course Title Semester and Year Elective #1 Course Type Course Title Semester and Year Elective #2 Course Type Course Title Semester and Year Training in a Specific Work Sector List the 3 courses you plan to apply to the UNT Peace Corps Prep Certificate that are related to your specific work sector. You may include courses that you have already completed or courses that you plan to complete. These courses must be approved by the Peace Corps Prep Coordinator before they are applied to your certificate. Course TitleSemester and Year Course Title Semester and Year Course Title Semester and Year Course Title Semester and Year Professional and Leadership Development Professional Resume Feedback * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Professional Interview Prep * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Describe a leadership experience that you intend to pursue * Foreign Language Skills (optional) The Peace Corps requires that volunteers serving in Spanish-speaking Latin America demonstrate strong intermediate proficiency in Spanish and volunteers serving in French-speaking West Africa must demonstrate proficiency in French. There are no specific language requirements for other locations. However, the Peace Corps strongly encourages applicants to have a least one foreign language class in the same language of the country where the applicant intends to serve. Foreign Language? Foreign Language Courses Course NumberCourse TitleSemester and Year Course #1 Course Number Course Title Semester and Year Course #2 Course Number Course Title Semester and Year Course #3 Course Number Course Title Semester and Year Course #4 Course Number Course Title Semester and Year If you are a native speaker of a language besides English, please indicate which language * Please print a copy of your application before clicking the submit button. Submit
