Verification_Degree._6.26.2017.doc
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- Solicitation number
- PC-19-R-003
- Issued by
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Peace Corps
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Intermittent Roving PCMO PSC Verification of Degree Form
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June 26, 2017
VERIFICATION OF DEGREE
Date:
College/university
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 by (commercial express mail or email) directly to:
Paul D. Coverdell Peace Corps Headquarters
Office of Medical services 1111 20th ST. NW
Room 5120 Washington, DC 20526
Attention: PCMO Program Coordinator Mleishman@peacecorps.gov
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 college/university from ____________ to
Degree Awarded:
Signed:
Print name:
Title:
June 26, 2017
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