2021 John F. Kennedy Service Award Returned Peace Corps Response Volunteers (RPCRVs)

Submit 2021 nominations by August 13, 2021

OMB control number: pending

JFK Service Award Returned Peace Corps Response Volunteers (RPCRVs)

Notes for Nominators

  • All qualifying submissions received during the nomination period will be reviewed by a selection committee and awardees will be selected based on the information provided on the nomination form below.
  • Information about a nominee's work and impact before, during and after their Volunteer service can be submitted for consideration by the selection committee.
  • Nominees must have completed at least 6 months of service as a Peace Corps Response Volunteer. The service requirement does not have to be six consecutive months.
  • The award ceremony will be held on September 29th, 2021 in Washington, DC. The awardee must be able to available to participate, virtually or in person, in the award ceremony.
  • Current employees of the Peace Corps and their immediate family members are not eligible to receive the 2021 John F. Kennedy Service Award for returned Peace Corps Response Volunteers.

Please see Peace Corps Awards for more information, including past JFK Service Award Winners. Contact the Office of Third Goal with questions about the nomination process.

Submit your nomination

2021 John F. Kennedy Service Award - Returned Peace Corps Response Volunteers

Nomination period: July 19 - Aug. 13, 2021

Awards (Two) to be presented: Sept. 29, 2021

Considering the purpose of the award to recognize returned Peace Corps Response Volunteers that have demonstrated exceptional contributions towards realizing the mission and goals of the Peace Corps, please complete the form below. Submissions should include as much detail as possible, including information on:

  • the leadership qualities demonstrated by the nominee
  • the enduring or lasting impact of the nominee’s work
  • the effort put forth by the nominee

If the above form is not appearing for you please use this form.

Privacy Act Statement: The Peace Corps, an agency of the federal government, is required by the Privacy Act of 1974 (5 U.S.C. 552a) to advise you of the following information regarding this award nomination form. The Privacy Act addresses the federal government’s use of certain personal information in agency files.

Authority: This nomination form for the JFK Service Award is authorized by 22 U.S.C. 2517.

Purpose: The information you provide will be used to consider your submitted nominee for this award, or to contact you if there is a question about your nomination.

Routine Uses: Use of the information collected based on this form is restricted to the purposes cited in this privacy statement or unless the disclosure is otherwise permitted under the provisions of the Privacy Act of 1974, 5 U.S.C. 552a, and the agency’s privacy policy. The information you provide may be used for the routine uses described in the Privacy Act, 5 U.S.C. 552a, and the Peace Corps' published Routine Uses A through N, as defined in the Peace Corps' System of Records PC-18 and the pending new System of Records PC-39. For information on Routine Uses A through N, please click on the link to the Peace Corps Privacy webpage.

Disclosure: The completion of this form is voluntary. However, failure to provide sufficient information may result in the Peace Corps’ inability to consider your nomination for this award. The agency is committed to ensuring that any personal information received is safeguarded against unauthorized disclosure.

Paperwork Reduction Act Statement: This notice is given under the Privacy Act of 1974 and the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA). The Privacy Act and Paperwork Reduction Act requires that the Peace Corps inform individuals and entities the following when asking for information. Through this voluntary collection of information, the Peace Corps is gathering information about you and the award nominee to consider nominations for the Lillian Carter Award. The public burden for the estimated average time to complete this application including time for reviewing general information about the form is 45 minutes. An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. If you have any comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, you can write to the Privacy Act Officer, 1275 First Street NE, Washington, DC 20526 or [email protected]