o receive more information about Peace Corps, please tell us a little about yourself by completing all of the questions below. You can also specify how you'd like to receive additional information: online, downloadable to your computer, or via the U.S. mail.   Basic Information In order to join the Peace Corps, you must be over age 18 and a U.S. citizen. Non-citizens may not join the Peace Corps.   Before you begin your application, please tell us a little about yourself by completing all the questions below. Next, select your preference: our online application, a downloadable application or a paper application kit that is mailed to you. Basic Eligibility In order to join the Peace Corps, you must be over age 18 and be a U.S. citizen. Non-citizens may not join the Peace Corps. Are you a U.S. citizen? yes   no Are you at least 18 years old?   yes   no Contact Information First name   Middle initial   Last name   Suffix   -- Select -- D.D.S. ESQ. I II III IV JR. L.S.W. M.D. PH.D. R.N. SR. Gender   female   male   Address Street address       City   State   -- Select -- Alabama Alaska American Samoa Arizona Arkansas Armed Forces (AA) Armed Forces (AE) Armed Forces (AP) California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip code   Country   United States AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA ASHMORE AND CARTIER ISLANDS AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BAKER ISLAND BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI BULGARIA BURKINA FASO BURMA BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND CLIPPERTON ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO (BRAZZAVILLE) CONGO (KINSHASA) COOK ISLANDS CORAL SEA ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH POLYNESIA FRENCH SOUTHERN AND ANTARCTIC GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLA HOLY SEE HONDURAS HONG KONG HOWLAND ISLAND HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAN MAYEN JAPAN JARVIS ISLAND JOHNSTON ATOLL JORDAN KAZAKHSTAN KENYA KINGMAN REEF KIRIBATI KOREA, NORTH KOREA, SOUTH KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACEDONIA MACUA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MAURITANIA MAURITIUS MEXICO MICRONESIA MIDWAY ISLANDS MOLDOVA MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NAVASSA ISLAND NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALMYRA ATOLL PANAMA PAPUA NEW GUINEA PARACEL ISLANDS PARAGUAY PERU PHILIPPINES PITCAIRN ISLANDS POLAND PORTUGAL PUERTO RICO QATAR ROMANIA RUSSIA RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADIN SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SA SPAIN SPRATLY ISLANDS SRI LANKA SUDAN SURINAME SVALBARD SWAZILAND SWEDEN SWITZERLAND SYRIA TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WAKE ISLAND WEST BANK WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE Day phone    ext.  Evening phone    ext.  Email address       (i.e. name@isp.com) Educational Background Select the highest level of education you will have attained by the time you are available for Peace Corps service. Don't worry if your degree or major is not listed. If you do not have a degree, we still want to hear from you. Your life experience and volunteer activities may qualify you for certain positions.   What is your expected level of education by the date you will be available to go overseas?     -- Select -- Other Did not complete High School High School Graduate/GED One or two years of College completed A.A. Degree or equivalent 3rd year of College completed College Graduate Graduate Study Graduate Degree Technical School Graduate What college did you last attend? First select the state where the college is located and press Search. Then select the college you attended.   -- Select -- Alabama Alaska American Samoa Arizona Arkansas Armed Forces (AA) Armed Forces (AE) Armed Forces (AP) California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming   -- Other Options -- Did Not Attend College Other College Not Listed What were your major fields of study? Select as many as apply.     Agriculture Business Education Environment Health Information Technology Liberal Arts Nursing Certification Science/Math Do you have a background in any of the following languages?   French Spanish Have you had any experience (paid or volunteer) in the following areas? Select as many as apply.     Agriculture At-Risk Youth Business Community Development Construction or Other Skilled Trade Education/Tutoring Environment Health Information Technology Non-Profits When are you available to leave for overseas?     --- Select --- October 2004 November 2004 December 2004 January 2005 February 2005 March 2005 April 2005 May 2005 June 2005 July 2005 August 2005 September 2005 October 2005 November 2005 December 2005 January 2006 February 2006 March 2006 What prompted you to visit the Peace Corps website today?     -- Select -- Article in Magazine/Newspaper Former Peace Corps Volunteer Peace Corps Advertisement Peace Corps Campus Event Peace Corps Community Event Peace Corps Email Peace Corps Mailing Peace Corps Recruiting Office/Staff Select Application Format If you select "Online Application," your confirmation page will link to ApplyYourself.com, the host for Peace Corps' online application forms. If you select "Download Application," you will be forwarded to a Web page where you may download your materials in Adobe Acrobat (PDF) format. If you select "Paper Application," it will be mailed to you within 10 business days.     -- Select -- Online Application Download Application Paper Application       Note: You must wait for your confirmation page. Please do not hit the Submit button more than once.   If you experience problems submitting this form, please contact your local recruiting office or call us at 1-800-424-8580 (Select Option 1) for an application.   Privacy Act Notice: You must be a U.S. citizen at least 18 years of age. Married couples without dependent children may be accepted if both spouses qualify for an assignment. There is no upper age limit. The Peace Corps prohibits discrimination based on race, color, national origin, religion, age (over 40), sex, disability, political affiliation, and sexual orientation. All Peace Corps services and programs are administered on this non-discriminatory basis. Anyone who feels he or she has been discriminated against may write to the American Diversity Program Manager, Peace Corps, Washington, DC 20526.   The Peace Corps Act (22 USC 2501 et seq.) authorizes this collection of information for the recruitment of persons for service in Peace Corps Volunteer programs. Providing the information herein requested is voluntary. This information will only be used to determine your interest in Peace Corps service, and it will remain entirely confidential. Estimated completion time: 1.75 minutes. Send comments on this form to Peace Corps, Paperwork Reduction Project 0420-0007, Washington, DC 20526. OMB control number 0420-0007. The Peace Corps may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Read our privacy and freedom of information policies.