ICDEIA Specialist Application Form.DOCX

Revised July 2022 INTERCULTURAL COMPETENCE, DIVERSITY, EQUITY, INCLUSION, AND ACCESSIBILITY (ICDEIA) SPECIALIST

APPLICATION FORM

SOLICITATION #1145PC22R0010

INTERCULTURAL COMPETENCE, DIVERSITY, EQUITY, INCLUSION, AND ACCESSIBILITY (ICDEIA) SPECIALIST

APPLICATION FORM

Name

Name

Mailing Address

E-mail Address

Telephone Number

Citizenship(s)_________________________ US Green Card Holder (Yes/No)

1. MOTIVATION: Please describe your motivation for applying for the ICDEIA Specialist personal services contract position using a cover letter attachment.

2. WORK EXPERIENCE: List and attach a detailed description of all work experience over the past ten years, accounting for any periods of unemployment longer than three months. You may attach a signed resume or CV if it contains all the information requested below, including:

· Work experience for the past ten years, including your current position

· Full description of duties and responsibilities for each position, indicating whether position was full or part-time

· Start and end dates for each position held

· Salary for each position

· Number of persons supervised

· Trainings directed or delivered

· Reason for leaving

· Names and telephone numbers of supervisors

· Volunteer positions

· Languages spoken

· Previous experience with Peace Corps or comparable international organization

3. REQUIRED QUALIFICATIONS: Please complete the two right columns in the following chart.

University degree from a recognized university.

Formal training in the area of intercultural competence, diversity of the United States of America, and/or inclusion.

Professional written and oral proficiency and comprehension in English.

Minimum ten years living and working in transitioning or developing international countries while working for Peace Corps or in an international institution comparable to Peace Corps. Experience gained must include experience advising, managing, coaching, mentoring, and supervising of staff and/or leading teams, people, and/or programs.

Minimum five years of supervisory experience as a first-level manager or higher (e.g. Deputy Director of Programming and Training, Training Manager, Regional Manager, or Program Manager)

Minimum five years’ experience supporting and coaching United States citizen volunteers who identify with different dimensions of diversity (i.e. race, disability, LGBTQ) during volunteer service abroad

Minimum five years’ experience developing and leading training on ICDEIA-related topics for multicultural staff, volunteers, interns, or students including follow-on support and consulting on ICDEIA issues in an intercultural setting

Minimum five years’ experience designing, managing, and evaluating projects and/or programs

Experience conducting needs assessments and developing and executing strategic plans/projects

Advanced proficiency in all MS Office Suite tools including: Excel, PowerPoint, Outlook, and Word; and digital communication tools such as Zoom, WebEx, and/or Teams

4. PREFERRED QUALIFICATIONS: Please complete the right two columns in the following chart:

Master’s degree or higher education.

Professional written and oral proficiency and comprehension in French.

Professional written and oral proficiency and comprehension in Portuguese.

Ability to develop on-line resources/courses and/or work in a learning management system or set-up and/or utilizing digital platforms for sharing.

5. QUESTIONS: Please answer the following questions.

In the last 5 years have you:

• been fired from a job?

• quit after being told you would be fired?

• left a job by mutual agreement following allegation of misconduct?

• left by mutual agreement following allegation of unsatisfactory performance?

• left a job for other reasons under unfavorable circumstances?

Have you ever served Peace Corps as a Trainee or Volunteer (including Response), or as a staff member (USDH, PSC, or FSN)? If yes, identify the position location, position type, title, and starting and ending dates below.

Have you ever been employed by an intelligence organization or otherwise engaged in or been connected with intelligence related activities? If yes, please explain below.

If you answered “yes” to any of the questions in #5 above, please include a typewritten explanation below.

6. REFERENCES

List names, relationship, email addresses, and telephone numbers for three professional references. At least one reference should be an immediate supervisor during the last five years.

A. Name Title/Organization Relationship to applicant Email Phone

B. Name Title/Organization Relationship to applicant Email Phone

C. Name Title/Organization Relationship to applicant Email Phone

7. AGREEMENT

By signing the application below and submitting it to Peace Corps in connection with this solicitation, you certify that you understand the following:

· The position is based in Lome, Togo or another Africa Region Peace Corps post, but will report directly to the Peace Corps Headquarters in Washington, DC.

· The work schedule will be on a full-time basis (260 work days authorized per contract year, a minimum of 40 hours of work per week), with after-hours, weekend, holiday, and on-call responsibilities. The work schedule will require flexibility and frequent travel to countries within the sub-region. The ICDEIA Specialist is not eligible for compensatory time, overtime pay, or holiday pay for hours worked beyond this minimum schedule or outside of regular working hours. This is neither a remote position nor will telework be permitted beyond that permitted by the applicable Peace Corps policies/procedures regarding PSC telework.

· While traveling, the ICDEIA Specialist may be lodged at a Peace Corps residence or in another facility with a kitchen and receive a reduced daily per diem allowance during that time.

· This position requires a background investigation and clearance and I know of no impediments to my ability to receive and maintain such a clearance.

· This position requires a medical evaluation and clearance for overseas assignments worldwide and I know of no impediments to my ability to receive and maintain such medical evaluation and clearance.

· This position requires registration in the System for Awards Management (SAM) and I know of no impediments to my ability to receive and maintain such an active registration.

· This position requires the receipt and maintenance of a US visa. I have never been denied a US visa in the past and I know of no impediments to my ability to receive and maintain a US visa.

· This position requires the ICDEIA Specialist to follow all health and safety guidelines (including COVID-19 protocols such as masking, social distancing, hand hygiene, submitting to temperature checks or other health checks/screenings and/or testing, following quarantine requirements, and following vaccination mandates, etc.) as specified for the position by the Peace Corps.

AUTHORIZATION FOR THE RELEASE OF INFORMATION

I consent to the release of information about me, and release from any liability for their statements all persons, corporations, and other entities who submit information to the Peace Corps to facilitate assessment of my qualifications. This consent includes the release of information that will help Peace Corps evaluate my professional competence, character, ethics, and other qualifications, and to resolve any doubts about my qualifications. I agree that I, as an applicant for affiliation with the Peace Corps, have the burden of producing and for resolving any doubts about such qualifications. If asked by Peace Corps, I consent to an interview to evaluate my professional and other qualifications. I understand that this information will be kept in confidence by the Peace Corps.

I certify that, to the best of my knowledge and belief, all of my statements made on this form, as well as on my resume or CV, and on all other documents submitted in connection with this application are true, correct, complete, and made in good faith.

Signature of applicant Date:

Name___________________________________________________

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