Verification Form_1.23.2023.doc

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Peace Corps Medical Officer (PCMO) Personal Services Contractor (To Be Assigned Full-Time to Work In-Person at Peace Corps Overseas Post)
Solicitation number
1145PC23R0015
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PCMO Application Form 2023.docx DOCX document
Statement of Work - Physician (Nov 2022).docx DOCX document

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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 email to Elizabeth Albershardt (ealbershardt@peacecorps.gov) and Adele Brandmark (abrandmark2@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:

January 23, 2023

File details come from the government source that posted it. Updated .