Peace_Corps_IAP_RITS_Application_Form.doc

Name

PEACE CORPS

IAP REGIONAL INFORMATION TECHNOLOGY SPECIALIST (RITS)

APPLICATION FORM

Name

Current Job Title _______________________________________________________________ Current Peace Corps Post

E-mail

Telephone (Day)

(Evening)

1. Based on what you know about the IAP Regional IT Specialist (RITS) position, please describe how you satisfy each of the required qualifications/evaluation criteria listed below.

• Five years’ experience as a highly successful Peace Corps Post IT Specialist.

• Completion of education or training resulting in a baccalaureate degree, or the host country academic equivalent, in the fields of computer science, information systems management, or equivalent. Related work experience may be substituted for a baccalaureate degree on a case by case basis.

• Technical capabilities with GSS configuration.

• Ability to communicate clearly and consistently in English – orally and in writing. Spanish competency desired.

• Recognized by post, region and ISS team as innovator of process improvement with technology.

• Strategic, methodical problem solver with proven diagnostic and problem solving abilities.

• Experience working collaboratively face-to-face or at a distance.

• Well-organized and disciplined in planning and scheduling workload.

• Well regarded by as technically competent by peer IT Specialists.

• Demonstrated ability to interact well with all levels of post staff.

• Ability to travel regularly – up to one week per month in the region.

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

A. Name

Title/Organization

Relationship to Applicant

Email

Phone

B. Name

C. Name

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 statements made on this form, as well as on all other documents submitted in connection with this application, are true, correct, complete, and made in good faith.

Printed Name of Applicant

Signature of Applicant

Date:

Revised April 1, 2016

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