Verification Form_1.23.doc
DOC document 26 KB Posted
- Solicitation number
- 1145PC23R0011
- Issued by
-
Peace Corps
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SOW PCMO Physician Standard.2022.docx | DOCX document | |
| Privilege Form - MD (Feb 2021).pdf | ||
| Privilege Form - NP (Feb 2021).pdf | ||
| SOW PCMO Nurse Practitioner.2022.docx | DOCX document | |
| Intermittent Roving PCMO Application Form 2023.docx | DOCX 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
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 .