Request Books for Your Service
Thanks to a grant from the NorCal Peace Corps Association, Hesperian Health Guides can now provide our lifesaving books to any Peace Corps Volunteer who is from Northern California. Please fill out the questions below to request books. We generally can send 2 books but you may list up to 4 more in case we can expand the donation.
First Name *
Your answer
Last Name *
Your answer
Country of Service *
Your answer
Dates of Service *
Your answer
Role during Service *
Your answer
How did you find out about this program? *
Your answer
What books would you like to receive? *
Please select the TWO books most useful to your work from the list below.
Required
What other books would you like? You may be able to receive up to 6 books total.
You may list the titles of up to 4 more books. Or you may request multiple copies of one or more books instead without exceeding 6 books total.
Your answer
Email address *
Your answer
Permanent address *
Your answer
Mailing address to ship books to *
Street address or PO Box number
Your answer
City or Town *
Your answer
State/Province *
Your answer
Postal Code *
Your answer
Country *
Your answer
If we are able to provide books, will you follow up with us in 6 months to tell us how you are using them?
Is there anything else you would like to tell us?
Add your comments or questions here. Please note we can only supply books.
Your answer
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