Iowa State University
Peace Corps Prep Program
Iowa State University, along with the United States Peace Corps, is pleased to announce the Iowa State
Peace Corps Prep Program. In this program, students are prepared and equipped for potential service in the
Peace Corps or other global organizations.
The Peace Corps Prep Program allows Iowa State students to prepare to further their goals of helping those
in need around the world. Iowa State students gain additional expertise in the field of international
cooperation through appropriate courses, foreign language experience, and experiences in the field. This
academic development program prepares highly qualified graduates for the Peace Corps or similar work in
global societies. With successful completion of the program, Iowa State graduates will find themselves
thoroughly equipped for the international workforce, demonstrating exceptional skills and invaluable global
competence.
The program also creates strong applicants to the Peace Corps following graduation. The program does not
ensure acceptance into the Peace Corps, but students will stand above the crowd in the large pool of
applicants as a Peace Corps Prep Program graduate and one who has gained the rare qualities Peace Corps is
searching for.
Steps to joining the Peace Corps Prep Program:
Step 1: Complete “Peace Corps Prep Program Introduction Worksheet”
Step 2: Meet with your academic adviser regarding planned coursework for PC Prep Program
-including any training/work sector courses, world language courses, or intercultural competency
courses
• Step 3: Meet with Dr. Gail Nonnecke, PC Prep Program Coordinator, or a Global
Resource Systems faculty or academic advisor to discuss course of study; (set up an
appointment through [email protected])
• Step 4: Fill out “application” with help from the student guide-both are found on the
Global Resource Systems webpage (www.globe.iastate.edu - click on PC Prep link) and in this packet
• Step 5: Submit an application, electronic application may be submitted to [email protected],
paper application may be submitted to Ms. Maggie Sprecher, 105 Horticulture Hall, Iowa State
University, Ames, IA 50011
Requirements to complete Peace Corps Prep Program
•
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•
•
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3 Specific Work Sector Courses and 50 hours related experience
3 Intercultural Competence Courses
Foreign Language Courses –requirements vary by language
Professional and leadership development through leadership experience and Career Services
workshops
Must be completed over the course of at least one academic years
Peace Corps Prep Program
at Iowa State University
Introduction Worksheet
The Peace Corps Prep Program (PCPP) prepares Iowa State students for various aspects of the Peace
Corps application through four different aspects of coursework and experience: training in a specific work
sector, foreign language skills, intercultural competence, and professional development. As students
consider the PCPP it is helpful to reflect on how one would meet requirements in each of these categories
in addition to the necessary coursework.
Specific Work Sector
In the PCPP, students pursue one of six work sectors including: Education, Health, Environment,
Agriculture, Youth in Development, Community Economic Development. Throughout the program
students will gain 50 hours of related experience.
Which Work Sector do you plan on pursuing?
_____________________________________________________________________________________
How will you gain Hands-on Experience? (See examples in the Peace Corps Prep Student Guide)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Foreign Language
In the PCPP, students study a foreign language depending upon desired Peace Corps volunteer placement
site. Requirements depend upon desired Peace Corps volunteer placement site. (1) Spanish-speaking
countriesà two 200-level courses. (2) French-speaking countriesà one 200-level course in any Romance
Language. (3) Everywhere elseà no explicit requirements, but language skills are a plus.
Which Foreign Language do you plan to study? ________________________________________
Intercultural Competence
Students majoring in Global Resource Systems will participate in one GLOBE course as well as two
approved global competency courses focusing on culture, history, politics and economics in which
students emphasize a global region outside the United States. Other majors will require three global
competency courses. Work with your academic advisor to consider what courses you may pursue!
Professional and Leadership Development
PCPP students will develop at least one significant leadership experience and prepare to discuss it
thoughtfully (i.e., organizing an event, serving on an executive board, or leading a project).
What form of leadership experience do you plan to pursue?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
PEACECORPSPREPSTUDENTGUIDE
ThePeaceCorpsPrepprogramwillprepareyouforinternationaldevelopmentfieldworkand
potentialPeaceCorpsservice.Toaccomplishthis,you’llbuildfourcorecompetenciesthrough
interrelatedcoursework,hands-onexperience,andprofessionaldevelopmentsupport.These
fourcompetencies,or“learningobjectives,”arethefollowing:
1. Trainingandexperienceinaworksector
2. Foreignlanguageskills
3. Interculturalcompetence
4. Professionalandleadershipdevelopment
Thisdocumentexplainseachoftheserequirementsindetail.Usethisguidetomapoutyour
PeaceCorpsPrepcourseofstudy.Inparticular,refertothiswhencompletingyourPCPrep
application,whereyou’llneedtodocumenthowyouplantofulfilleachrequirement.
Thisguidealignspoint-by-pointwitheachsectionoftheapplication!
1. Trainingandexperienceinaspecificworksector
3courses+50hoursrelatedexperience
Leveragingconcreteknowledgeandskillsiscentraltoon-the-groundinternational
developmentwork.ThroughthisPCPrepprogram,youwillbegintobuildaprofessional
specialty,whichshouldserveyourcareerwellwhetherornotyoubecomeaPeaceCorps
Volunteer.
ForPCPrep,youneedtocompleteatleast3coursesthatalignwithaspecificworksector
(theycanbutdonotneedtocomefromyouracademicmajororminor).Youalsomust
accumulateaminimumof50hoursofvolunteerorworkexperienceinthatsamesector,
preferablyinateachingoroutreachcapacity.
Peace
Corps
Tip!
IfyouintendtoapplytothePeaceCorps,thebestwaytoassurethatyouwillbea
strongcandidateistoidentifythetypeofassignmentsinwhichyou’dliketoserve
throughthisinteractivetool(www.peacecorps.gov/openings),thenreviewthe
positions’desiredqualificationsandbuildthemupaccordingly.Intheprocess,you
shouldfulfillthesePCPrepexperientialrequirements!
TherearesixsectorsinwhichPeaceCorpsVolunteersserve,andtheseare
detailedbelow.
Chooseonesectortofocusonthencompleteatleast3courses+50hoursof
relatedexperienceinthatsector.
Note:ActualPeaceCorpsassignmentsarebasedonlocalneeds,andthusmayormaynot
alignseamlesslywithyourqualifications.FlexibilityiscentraltothePeaceCorpsexperience!
#1EDUCATION(www.peacecorps.gov/volunteer/learn/whatvol/edu_youth/assignments/)
Teachlessonsthatlastalifetime.EducationisthePeaceCorp’slargestprogram
area.Volunteersplayanimportantroleincreatinglinksamongschools,parents,
andcommunitiesbyworkinginelementary,secondary,andpostsecondaryschools
asmath,science,conversationalEnglish,andresourceteachersorasearlygrade
readingandliteracyteachertrainers.Volunteersalsodeveloplibrariesand
technologyresourcecenters.
IfyouchooseEducation,take3coursesfromoneofthefollowingareas:
o Ag-Education
o Health
o Science-AllAreas
o LanguageArts
o History-SocialStudies
o SpecialEducation
o EnglishorLinguistics
o Mathematics
o FamilyandConsumer
o PhysicalEducation
Science
o Reading
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• Teachinginoneoftheseorasimilarform:inaclassroom,withacommunity
outreachorganization,orinaformaltutoringcapacity
• TeachinginIowaState’sServiceLearninginUgandaProgramwherestudents
workwiththeteacherstodevelopcurriculumtopromotethestudyof
agriculture,science,healthandnutritiontothechildrenatlocalprimaryschools
• TeachinginIowaState’sEARTHprogramontheUSVirginIslandswherestudents
havetheopportunitytoteachhorticulture,environmentalscience,andculinary
artstoK-12classes.
#2HEALTH(www.peacecorps.gov/volunteer/learn/whatvol/health/assignments/)
Serveonthefrontlinesofglobalhealth.HealthVolunteersworkwithintheir
communitiestopromoteimportanttopicssuchasnutrition,maternalandchild
health,basichygiene,andwatersanitation.VolunteersalsoworkinHIV/AIDS
educationandpreventionprogramstotrainyouthaspeereducators,develop
appropriateeducationstrategies,providesupporttochildrenorphanedbythe
pandemic,andcreateprogramsthatprovideemotionalandfinancialsupportto
familiesandcommunitiesaffectedbythedisease.
IfyouchooseHealth,takethreecoursesfromoneofthefollowingareas:
o NutritionorDietetics
o FoodScience
o TechnicalEducation
o HealthEducation
o Kinesiology
o Environmentalor
o Pre-professional
o Biologyor
SanitaryEngineering
Health
Microbiology
o IndustrialArts
o AthleticTraining
o Biochemistry
o DietandExercise
o Biophysics
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• VolunteeringorworkexperienceinsuchareasasHIV/AIDSoutreach,hospice,
familyplanningcounseling,emergencymedicaltechnician(EMT)orCPR
teaching/certification,maternalhealth,andhands-oncaregivinginahospital,
clinic,orlabtechniciansetting
• Counselingorteachinginhealthsubjects
• Workingasaresidentadviserinadormitory,asapeernutritionist,orasa
sexuallytransmittedinfectionscounselor
• Significantexperienceinmechanicalrepairs,construction,carpentry,masonry,
plumbing,hydrology,orsetdesign
• EngaginginhealthrelatedprojectsinIowaState’sServiceLearninginUganda
Program
#3ENVIRONMENT(www.peacecorps.gov/volunteer/learn/whatvol/env/assignments/)
Helpforgeaglobalmovementtoprotectourplanet.Volunteersleadgrassroots
effortsintheircommunitiestoprotecttheenvironmentandstrengthen
understandingofenvironmentalissues.Theyteachenvironmentalawarenessin
elementaryandsecondaryschoolsandtoyouthgroupsandcommunity
organizations,empoweringcommunitiestomaketheirowndecisionsabouthow
toprotectandconservethelocalenvironment.Volunteersalsoaddress
environmentaldegradationbypromotingsustainableuseofnaturalresources.
IfyouchooseEnvironment,takethreecoursesfromoneofthefollowingareas:
o
o
o
o
o
Agronomy
EnvironmentalScience
Forestry
Horticulture
NaturalResources
Conservation
o ParkAdministration
o WildlifeBiology
o NaturalResourcesor
WildlifeManagement
o Forestry
o BiologyorMicrobiology
o EarthScience
o Geology
o Sustainability
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• Educatingthepubliconenvironmentalorconservationissues,orworkingon
environmentalcampaigns
• Conductingbiologicalsurveysofplantsoranimals
• Gardening,farming,nurserymanagement,organicorlow-inputvegetableproduction,
orlandscaping
• Providingtechnicalassistanceandtraininginnaturalresourcemanagement
• ParticipatinginIowaState’sCostaRica’sNaturalHeritageTourtodiscoverthenatural
diversityofCostaRicaandsustainabilityofitslandscape
• JoiningIowaState’sSkunkRiverNavytolearnaboutwaterresourcesandinvestin
Iowa’snaturalwaterresources
• Engaginginanagroforestry,irrigation,orbeekeepingprojectinIowaState’sService
LearninginUgandaprogram
• ParticipatinginIowaState’sschoolgardening/service-learningEARTHProgram
(EducationandResiliencyThroughHorticulture)onSt.John,U.S.VirginIslands
#4AGRICULTURE(www.peacecorps.gov/volunteer/learn/whatvol/agr/assignments/)
Leadgrassrootseffortstofighthungerinachangingworld.Agricultural
Volunteersworkwithsmall-scalefarmersandfamiliestoincreasefoodsecurity
andproductionandadapttoclimatechangewhilepromotingenvironmental
conservationpractices.Theyintroducefarmerstotechniquesthatpreventsoil
erosion,reducetheuseofharmfulpesticides,andreplenishthesoil.Theywork
alongsidefarmersonintegratedprojectsthatoftencombinevegetablegardening,
livestockmanagement,agroforestry,andnutritioneducation.
IfyouchooseAgriculture,takethreecoursesfromoneofthefollowingareas:
o
o
o
o
o
Agronomy
Horticulture
EarthScience
Entomology
EnvironmentalScience
o
o
o
o
o
AgriculturalScience
Agribusiness
AgriculturalEconomics
BusinessorEconomics
BiologyorMicrobiology
o Biochemistryor
biophysics
o BiologicalSystems
Engineering
o AgEngineering
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• Workingwithalarge-scaleorfamily-runbusinessinvolvingvegetablegardening,
farming,nurserywork,treeplantingorcare,urbanforestry,livestockcareand
management,orfishcultivationandproductionorworkinginhands-onactivitiesatthe
IowaStateHorticultureFarm,AgronomyFarm,StudentOrganicFarm,orAg450Farm.
• Teachingortutoringthepublicinenvironmentaloragriculturalissues/activities
• Workingonthebusinessmanagementormarketingsideofacommercialfarm
• Engaginginanagroforestry,irrigation,and/orbeekeepingprojectinIowaState’sService
LearninginUgandaprogram
• StudyingabroadwithoneofIowaState’snumerousAgricultureTravelCourses
• ParticipatinginIowaState’sschoolgardening/service-learningEARTHProgram
(EducationandResiliencyThroughHorticulture)onSt.John,U.S.VirginIslands.
#5YOUTHINDEVELOPMENT
(www.peacecorps.gov/volunteer/learn/whatvol/youth/assignments/)
Empowerthenextgenerationofchangemakers.Volunteersworkwithyouthin
communitiesonprojectsthatpromoteengagementandactivecitizenship,
includinggenderawareness,employability,healthandHIV/AIDSeducation,
environmentalawareness,sportingprograms,andinfotechnology.
IfyouchooseYouthinDevelopment,takethreecoursesfromoneofthefollowing
areas:
o Sociology
o Child,AdultandFamily
Services
o CommunicationStudies
o Family&Consumer
o CommunityandRegional
Sciences
Planning
o PoliticalScience
o Psychology
o AgandLifeSciencesEduc. o Women’sStudies
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• Teachingorcounselinginat-riskyouthprograms
• Activitiesthatinvolveplanning,organizing,assessingcommunityneeds,counseling,and
leadership,inareassuchaseducation,youthdevelopment,healthandHIV/AIDS,the
environment,and/orbusiness
• VolunteeringatYouth&ShelterServices,Inc.inAmes,providingabroadrangeof
servicestoyouthandtheirfamiliesinthelocalcommunity
• AidingyouthatBeloitResidentialTreatmentCenterorWoodwardAcademy
• Workingin4-H
• WorkingorvolunteeringattheBoys&GirlsClubofAmes
#6COMMUNITYECONOMICDEVELOPMENT
(www.peacecorps.gov/volunteer/learn/whatvol/busdev_01/assignments/)
st
Harness21 -centurytoolstohelpcommunitiesliftthemselves.Volunteerswork
withdevelopmentbanks,nongovernmentalorganizations,andmunicipalitiesto
strengtheninfrastructureandencourageeconomicopportunitiesincommunities.
Theyfrequentlyteachinclassroomsettingsandworkwithentrepreneursand
businessownerstodevelopandmarkettheirproducts.SomeVolunteersalso
teachbasiccomputerskillsandhelpcommunitiestakeadvantageoftechnologies
suchase-commerce,distancelearning,andmore.
IfyouchooseCommunityEconomicDevelopment,takethreecoursesfromoneofthe
followingareas:
o BusinessorPublic
Administration
o Management
o Accounting,Bankingor
Finance
o Economics
o EventManagement
o Finance
o FinancialCounselingand
Planning
o HospitalityManagement
o Marketing
o SupplyChain
Management
o ComputerScienceand
relatedmajors
o GraphicDesign
o MassCommunications
o InternationalBusiness
Andbuild50hoursofrelatedfieldexperiencethroughanactivitysuchas:
• Workingwithbusinesses,organizations,orcooperativesinaccounting,finance,
microfinance,management,projectmanagement,budgeting,ormarketing
• Startingandrunningyourownbusinessorotherentrepreneurialactivity
• Trainingothersincomputerliteracy,maintenance,andrepair
• Websitedesignoronlinemarketing
• Foundingorleadingacommunity-orschool-basedorganization
• StudyingabroadinoneofIowaState’sAgricultureBusinessTravelCoursestoArgentina,
Spain,orAustralia
• ParticipatinginIowaState’sEntrepreneurshipAroundIowaIndustryTourtogainlocal
entrepreneurialexperience
• BecominginvolvedwithIowaState’sAgriculturalEntrepreneurshipInitiativedeveloping
newagriculturalprogramsbothdomesticallyandabroad
Peace
Corps
Tip!
Nearlytwo-thirdsofPeaceCorpsVolunteersserveinEducationorHealth.
Coursework,aminorormeaningfulexperienceinoneoftheseareas—
especiallyteachingEnglishasasecond/foreignlanguage—producesomeof
thestrongestcandidates.
2. Foreignlanguageskills
Requirementsvarybylanguage
Workingacrossculturesoftenentailsverbalandnonverballanguagesdistinctfromyour
own.BuildingforeignlanguageskillsisthusasecondkeycomponentofthePCPrep
curriculum.
Wherewouldyouliketoserve?PCPrepminimumcourserequirementsalignwiththose
neededbyapplicantstothePeaceCorpsitself,whichvarybylinguisticregion.
• LatinAmerica:IndividualswantingtoserveinSpanish-speakingcountriesmust
applywithstrongintermediateproficiency.Thistypicallymeanscompletingtwo
200-levelcourses.
• WestAfrica:IndividualswantingtoserveinFrench-speakingAfricancountries
shouldbeproficientinFrench(or,insomecases,anyRomanceLanguage),usually
throughone200-levelcourse.
• Everywhereelse:ThePeaceCorpshasnoexplicitlanguagerequirementsfor
individualsapplyingtoserveinmostothercountries.However,youwillstilllikely
learnandutilizeanotherlanguageduringservice,soitisonlyhelpfultohavetaken
atleastoneforeignlanguageclass.
Note:Ifyouareastrongnativespeakerandwanttoserveinacountrythatspeaks
yoursamelanguage,youcanskiptheforeignlanguagerequirement,butbeprepared
todemonstrateyourlanguageskills.
3. Interculturalcompetence
3approvedcourses
Engagingthoughtfullyacrossculturesbeginswithone’sownself-awareness.Withthis
learningobjective,youwilldeepenyourculturalagilitythroughamixofthree
introspectivecoursesinwhichyoulearnaboutotherswhilereflectinguponyourownself
inrelationtoothers.Thegoalisforyoutobuildyourcapacitytoshiftperspectiveand
behavioraroundrelevantculturaldifferences.
NOTE:IowaState’sGlobalResourceSystemscurriculumrequires15creditsof
courseworktodevelopglobalcompetencies,includingcoursesinhistory,
politics,sociology,economics,religiousstudies,anthropology,etc.,inwhich
studentsemphasizeaglobalregionoutsidetheUnitedStates.Upto3credits
maybeearnedthroughtravelcourses.CoursesintheWLCLanguageand
CulturesforProfessionsarealsoeligible.Studentswhofulfillthegraduation
requirementsfortheGRSprogramdonotneedtotakeadditionalclassesto
fulfilltheinterculturalcompetenceportionofthePCPrepprogrambecausethe
3-courserequirementismetinthecurriculum.
InternationalPerspectivecoursesarelistedatTheOfficeoftheRegistrar’swebpageatIowa
StateUniversity.
You’lltakeatleast3courses:
• _________________________________
• _________________________________
• _________________________________
Isthereanothercourseinthecatalogthatyoufeelmeetsthisrequirementbutisnotlisted
asaninternationalperspectivecourse?PleasediscussitwithyourPCPrepCoordinator.
Peace
Corps
Tip!
Prolongedinterculturalexperiences—suchasstudyingorvolunteeringabroad,
supportingnewimmigrantsorrefugeesacculturatetotheUnitedStates,or
volunteeringindiverseschools—wouldalsostrengthenyourPeaceCorps
candidacysignificantly.
4. Professionalandleadershipdevelopment
Resumeandinterviewsupport+Leadershipexperience
Internationaldevelopmentisahighlyprofessionalsector.Itisdifficulttobreakintoand
demandsgreatinitiativeandleadershiptoadvanceprofessionallywithinthefield.PCPrep
requiresthreespecificactivitiesthatwillstrengthenyourcandidacyforthePeaceCorps
(oranyotherprofessionalendeavor):
1. HaveyourresumecritiquedbysomeoneinanIowaStateUniversityCareer
Servicesoffice.
2. AttendaworkshoporclassoninterviewskillsatIowaStateUniversity–check
outopportunitiesinanIowaStateUniversityCareerServicesoffice.
3. Developatleastonesignificantleadershipexperienceandbepreparedto
discussitthoughtfully.Forexample,organizingacampusevent,leadingawork
orvolunteerproject,gainingaCommunityLeadershipandPublicService
certificate,completinganIowaStateleadershipprogramorminor,orservingon
theexecutiveboardofastudentorganization.
PEACECORPSPREPPROGRAMSTUDENTAPPLICATION
Name:________________________________StudentID:_____________Date:__________
Phone:____________________E-mail:_____________________________________________
Major(s):_____________________________Minor(s):_______________________________
ExpectedGraduation(monthandyear):______________________CumulativeGPA:________
1. Trainingandexperienceinaspecificworksector
PleasechecktheboxofthesectorinwhichyouwouldliketoserveinwithinthePeaceCorps:
q Education
q Environment
q YouthinDevelopment
q Health
q Agriculture
q CommunityEconomic
Development
Note:ActualPeaceCorpsassignmentsarebasedonlocalneeds,andthusmayormaynotalign
seamlesslywithyourqualifications.FlexibilityiskeytothePeaceCorpsexperience!
(1) Coursework.Listthenumberandnameof3coursesinthissamesectorthatyouplanto
take,andthesemesterinwhichyouplantotakethem(itisfineifyou’vealreadytaken
them).
Note:Thecoursesyouincludeonthisapplicationmaychange,butit’sgoodtohaveaplan.
1. Course:_____________________________________Semesterandyear:_____________
2. Course:_____________________________________Semesterandyear:_____________
3. Course:_____________________________________Semesterandyear:_____________
(2) Hands-onexperienceinthatsamespecificworksector–theboxyoucheckedonpage1
(musttotalatleast50hours).
Describewhatyouplantodo:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. Foreignlanguageskills
RequirementsdependupondesiredPeaceCorpsvolunteerplacementsite.
(1)Spanish-speakingcountriesà two200-levelcourses.(2)French-speakingcountriesà one200levelcourseinanyRomanceLanguage.(3)Everywhereelseà noexplicitrequirements,butlanguage
skillsareaplus.
Pleaselisttheforeignlanguageyouplantostudy:____________________
Listthelast2foreignlanguagecoursesyouplantotake:
Course1:________________________________________Semesterandyear:_____________
Course2:________________________________________Semesterandyear:_____________
Ordescribeyouralternativelearningprocess(e.g.,nativespeaker,receivedofficialcreditforcourses
previouslycompletedornationallyacceptedhighereducationexaminations):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. Interculturalcompetence
Listthreeapprovedglobalcompetencycourses,whichyouplantotake:
Course1:_________________________________________Semesterandyear:_____________
Course2:_________________________________________Semesterandyear:_____________
Course3:_________________________________________Semesterandyear:_____________
4. Professionalandleadershipdevelopment
1. Professionalresumefeedback:WhendoyouplantomeetwiththeCollegeofAgricultureand
LifeSciencesCareerServicesOfficeoranotherIowaStatecollege’sCareerServicesOfficefora
one-on-oneresumereview?
Monthandyear:______________________________________
2. Professionalinterviewprep:WhendoyouplantoparticipateinaCollegeofAgricultureand
LifeSciencesCareerServicesoranotherIowaStatecollege’sCareerServicesOfficeinterview
workshop? Monthandyear:______________________________________
3. Describealeadershipexperiencethatyouintendtopursue:
Forexample,leadingaworkorvolunteerproject,servingontheexecutiveboardofastudent
organization,ororganizingamajorcampusevent.Alsoconsiderparticipatinginorcompletionofa
universityleadershipprogramorminorortheGlobalResourceSystemsLeadershipFellowsProgram.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________
_________________
SignatureofStudent
Date _________________
Date
______________________________________
SignatureofPeaceCorpsPrepProgramCoordinator
RELEASEOFINFORMATIONFORM
Withyourapproval,theIowaStateUniversityPeaceCorpsPreparatory(PCPrep)programwill
releaseinformationonaregularbasistothePeaceCorps,includingdetailsaboutthe
participantsinthisprogramandotherrelevantdatathathelpthePeaceCorpsevaluatethe
effectivenessofPCPrep.TheseeducationalrecordsaresubjecttotheFamilyEducational
RightsandPrivacyAct(FERPA),aFederallawdesignedtoprotecttheprivacyofastudent’s
educationalrecords. ThisActprohibitscollegeofficialsfromdisclosinganyrecords,including
gradereports,academicstandings,transcriptsofrecords,oranyotherrecords,whichcontain
informationdirectlyrelatedtothestudentandfromwhichthestudentcanbeindividually
identifiedwithoutthestudent’sconsent.ConsistentwithFERPAguidelines,IowaState
UniversitywillnotreleaserecordsrelatedtoyourperformanceinthePCPrepprogram,other
thanthoseenumeratedinthisdisclosureagreement.
IherebypermitIowaStateUniversitytodisclosepersonallyidentifiableinformationtoPeace
CorpsregardingmyparticipationinthePeaceCorpsPreparatoryprogramforthepurposesof
evaluatingPCPrep.Thisinformationwillbelimitedtomyname,dateofadmissiontoPC
Prep,thecourseworkandotheractivitiesIpursuedtosatisfyPCPreprequirements,dateof
graduation,andwhetherIsuccessfullycompletedthePCPrepupongraduation. IfIdonot
ultimatelyenterthePeaceCorps,IowaStateUniversitymayreportpost-graduationcareer
informationtotheextentthatIowaStateUniversityhasthatinformation.
StudentName(printed):____________________________________________________
StudentSignature:_________________________________________________________
Date:___________________________________