home | peace corps | rpcv/staff registration form
Name:
E-mail address:
Street Address: Apt. #
City: State: ZIP:
Country of Service:
Dates of Service:
Position Held: select one: Education Business Environment Agriculture Health Community Development Staff
What is your U-M affiliation? select one: faculty staff student alumni none
Are you interested in receiving our e-mail newsletter RPCVs@umich.edu? Yes No
Are you interested in speaking or assisting at Peace Corps functions on Campus? Yes No
Are you willing to be contacted by Peace Corps applicants? Yes No
Comments:
603 E. Madison • Ann Arbor MI • 48109-1370 • 734.764.9310 • fax 734.647.2181 • icenter@umich.edu
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