Regional PTE Advisor Application Form.doc

Name

PEACE CORPS

Regional Programming, Training, and Evaluation (PT&E) Advisor (RA)

PSC APPLICATION FORM

1145PC22R0008

Name

Mailing Address

E-mail Address

Telephone Number

Citizenship(s)_________________________ US Green Card Holder (Yes/No) Interested in Being Considered for (Indicate “Yes” or “No” for Each):

Full-Time RA Positions:

Intermittent RA Positions:

1. 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. Alternatively, you may attach a signed resume or CV if it contains all the information requested below:

· 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

· Please indicate whether you are able to drive a manual vehicle

2. Please complete the two right columns in the following chart.

Minimum five year of experience providing support to international volunteers, students, or interns.

Minimum five years of experience living and working in transitioning or developing international countries

Minimum seven years of experience developing and leading training on relevant topics for multicultural staff, volunteers, interns, or students.

Minimum seven years of experience in program design management and evaluation.

Minimum five year 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).

Ability to communicate professionally orally and in writing in English.

Ability to communicate professionally orally and in writing in and Spanish (applicable to positions in the Inter-Americas and the Pacific (IAP) Region).

Ability to appropriately work in confidential situations.

Ability to travel to overseas posts for undefined periods of time.

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

· Depending on the citizenship/permanent residency of the selected candidate, the position can either be:

· Based at the principal Peace Corps office in a country in the Region of assignment (i.e. “primary country of assignment” – TBD). Relocation expenses will not be covered. From there, travel estimated at 60-70% of the time to provide programming, training, and evaluation support to posts across the entire region. Or

· Travel estimated at 100% of the time to provide programming, training, and evaluation support to posts across the entire region.

· This is neither a remote position nor will telework be permitted beyond that permitted by the applicable Peace Corps policies/procedures regarding personal services contractor telework. The RA will be assigned to a post for all working days of their contract.

· This position reports directly to the Regional Chief of Programming and Training whom is based in Peace Corps Headquarters.

· Full-time RA PSCs will have 260 work days authorized per contract year and a minimum work requirement of 40 hours per week. Intermittent RA PSCs will have less than 260 work days authorized per contract year (no minimum number of work days authorized per contract year or work days per contract year actually worked are guaranteed) with a minimum work requirement of 40 hours per week (or the daily equivalent) when on assignment. The RA may be required to hold a duty phone and/or to respond to off-hour calls or attend off-hour meetings (i.e. nights, weekends, and holidays) related to their position. The RA is ineligible for additional pay or leave (e.g. paid leave, holiday pay, or overtime pay) for work performed off-hours (i.e. nights, weekends, and holidays) or for hours spent working beyond their minimum work requirement.

· While traveling, the RA will often be lodged at a Peace Corps residence or in another facility with a kitchen and receive a reduced daily meals and incidental expenses allowance during that time.

· This position requires a background investigation and security certificate and I know of no impediments to my ability to receive and maintain such a clearance (a Top Secret clearance is required for US Citizens).

· 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 RA 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.

3. Are you currently or have you ever worked for the Peace Corps as an employee (e.g. US Direct Hire (USDH), Expert, or Foreign Service National (FSN)) or personal services contractor? If yes, please list the location of that work (e.g. post or office of assignment), position title(s), and position date(s).

4. In the last ten 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?

No

Yes -- please explain below:

3. 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

C. Name

AUTHORIZATION FOR THE RELEASE OF INFORMATION

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

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, and I accept an invitation to participate in an interview or other evaluation measure, I consent that this interview and/or other evaluation measure will be utilized to evaluate my professional and other qualifications. I understand that this information will be kept in confidence by the Peace Corps.

CERTIFICATION

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.

Signature of Applicant

Date:

Printed Name

Revised July 2022

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