Verification_Medical_School_(02.2017).doc
DOC document 24 KB Posted
- Solicitation number
- PC-17-R-003
- Issued by
-
Peace Corps
About this file
Primary Source Verification Form (Verification of Degree from School of Medicine)
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RMO_Application_Form_(03.2017).doc | DOC document | |
| RMO_Statement_of_Work_(03.2017).doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VERIFICATION OF DEGREE FROM SCHOOL OF MEDICINE
Date:
School of medicine
Address
RE:
Name of Degree
Date Awarded
To Whom It May Concern:
I am applying for a contract with the Peace Corps. The application process requires that I ask you to complete and return this form directly to:
Paul D. Coverdell Peace Corps Headquarters
Office of Medical Services
1111 20th St., NW
Washington, DC 20526
Attention: PCMO Program Coordinator 5th Floor
I give my consent for this information to be released to the Peace Corps and have signed below.
Sincerely, Signature
Print Name
Address
Telephone
VERIFICATION
The above named individual attended this school of medicine from ____________ to
Degree Awarded:
Signed:
Print name:
Title:
February 23,2017
File details come from the government source that posted it. Updated .