Connect with the Peace Corps Experience

Enhance your students' learning in almost any subject area by connecting with returned Peace Corps Volunteers (RPCV) and/or Peace Corps Volunteers (PCV) to facilitate an intercultural exchange. Their stories, projects, and experiences can provide U.S. learners with in-depth, firsthand perspectives of global cultures and views not usually accessible through textbooks, films, or other media.

 
First Name*
 
 
Last Name*
 
 
Email Address*
 
 
 
School/Organization*
 
 
 
School/Organization Address Line 1*
 
 
 
School/Organization Address Line 2
 
 
 
City*
 
 
State/Province*
 
 
Zip/Postal Code*
 
 
Work Phone*
 
 
Mobile Phone
 
 
 
 
Grade Level/Age Range *
 
 
 
What Type of Engagement? *
 
 
 
(*If no one is available in your area, we will send you virtual options)
Notes About Engagement, Including ‘Other” Selection Types
 
 
Does Your Engagement Have a Specific Time/Date? *
 
 
Date and Time
 
 
Approximate Number of Learners/Participants*
 
 
 
Details About Connection*
 
 
(Please provide details about your request for us to share with Volunteers.)
Requested Peace Corps Country of Service: 1st Choice
 
 
 
Requested Peace Corps Country of Service: 2nd Choice
 
 
 
(Please note that the Peace Corps does not serve in every country. * Indicates a country of service where Peace Corps is no longer active.)
Requested Languages Spoken: 1st Choice
 
 
 
Requested Languages Spoken: 2nd Choice
 
 
 
 
Are you a returned Peace Corps Volunteer?
 
 
 
How Did You Learn About This Program?*
 
 
 
 
 
 
 

By submitting this form, I agree to have this information shared with returned Peace Corps Volunteers, Peace Corps Volunteers, and Peace Corps staff for the purpose of establishing the requested connection.

OMB Control #: Approval Pending