Verification of Degree_fillable.pdf

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Intermittent Roving Peace Corps Medical Officer (PCMO) Personal Services Contractor(s)
Solicitation number
1145PC26R0001
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About this file

This is a Verification of Degree form for the Peace Corps contract application process. The document provides a template for candidates to request degree verification from their college or university, requiring the institution to complete details about the individual's academic history, including attendance dates, degree awarded, and date of award. The form requires the candidate to provide personal information and obtain consent for releasing their educational records, with instructions to email the completed form to pcmosupportu@peacecorps.gov. The document is dated and updated in November 2025, indicating it is a current administrative form used in the Peace Corps recruitment and contract application workflow.

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Text version

Updated November 2025

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: pcmosupportu@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: Date:

Signed: Print name:

Title: Date: _________________________ mailto:pcmosupportu@peacecorps.gov

Date:
CollegeUniversity:
Address 1:
Address 2:
Name of Degree:
Date Awarded:
Print Name:
Address 1_2:
Address 2_2:
Telephone:
The above named individual attended this collegeuniversity from:
to:
Degree Awarded:
Date_2:
Print name:
Title:
Date_3:

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