Jump to Content or Main Navigation

Paul D. Coverdell World Wise Schools

Paul D. Coverdell World Wise Schools

Correspondence Match Educator Enrollment Form

Correspondence with a Peace Corps Volunteer can enhance your students' learning in almost any subject area. Peace Corps Volunteers serve in every region of the world, working at the grass-roots level. Their stories, projects, and experiences can provide U.S. students with in-depth, firsthand perspectives of global cultures - views not usually accessible through textbooks, films, or other media.

To take part in this unique opportunity, please fill out the form below. Feel free to share this program with your colleagues.

* :
* :
* :
:
* :
* :
* :
* :
:
* :
* :
* :
Special Requests:
Although we will do our best to honor your request, limiting your preferences will expedite the process.

:
:
:
:
:
:

OMB Control Number 0420-0540
Expiration Date: 06/30/2017

Privacy Act Notice: This information is being collected pursuant to 22 U.S.C. 2501(a). This information will be used in processing your enrollment in the Correspondence Match program. Disclosure of this information is voluntary. Failure to provide sufficient information may preclude your consideration for Correspondence Match. This information may be used for the routine uses described in the Privacy Act, 5 U.S.C. 552a, and the Peace Corps' published Routine Uses, summarized in Peace Corps' System of Records.

Paperwork Reduction Act Burden Statement: Public reporting burden for this information collection is estimated to average 10 minutes. This includes the time for reviewing instructions and completing the information. This is voluntary information collection. An agency may not conduct or sponsor, and persons are not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: the FOIA Officer, Peace Corps, 1111 20th Street NW, 2nd Floor, Washington, D.C. 20526.

PC-DP.969.5 (Rev. 04/2014)