Verification Form_1.23.2023.doc
DOC document 26 KB Posted
- Solicitation number
- 1145PC24R0001
- Issued by
-
Peace Corps
About this file
This document contains a verification form for a degree and a solicitation for a Peace Corps Medical Officer position in Samoa. The verification form requests that an applicant's college or university complete and return the form by email to two Peace Corps employees, verifying the applicant's degree, dates of attendance, degree awarded, and date. The solicitation seeks a Peace Corps Medical Officer as a Personal Services Contractor to work full-time and in-person at Peace Corps Samoa. The solicitation number is 1145PC24R0001 and was issued by the Peace Corps. The response is due by an unspecified date. The solicitation is for a full-time, in-person position located in Samoa providing medical services support to Peace Corps volunteers.
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Other files
| File | Type | Posted |
|---|---|---|
| PCMO Application Form 2023.docx | DOCX document | |
| SOW PCMO NURSE PRACTITIONER_November 2022.pdf | ||
| SOW PCMO Physician.Standard_November 2022.pdf |
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Text version
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 .