Shriver Peaceworker Application
Thank you for your interest in the Shriver Peaceworker Fellowship.

Fill out all the required fields below to complete your formal application to the Fellowship. Please attempt to keep each response to only one answer (i.e. if you have more than one possible answer to a prompt, please choose the most relevant or recent answer).

Please note that this is only the first portion of a complete Shriver Peaceworker Application. Further instructions explaining a complete application can be found at the end of this form. The deadline for submission of all application materials, including this form is January 15th.

***In a few cases people have experienced technical issues submitting this online form. If you have difficulty, please try using another browser (such as google chrome), or submit this information via email with your other application documents to pwapplication@umbc.edu ***

Full Name
Your answer
Applicant's Email Address
Your answer
Permanent Address
Steet Address
Your answer
City
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State
Your answer
Zip Code
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Current Mailing Address
Street Address
Your answer
City
Your answer
State / Region
Your answer
Country
Your answer
Zip or Mailing Code
Your answer
Telephone Numbers
Daytime
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Evening
Your answer
Mobile
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Preferred Gender Pronoun
What is your preferred gender pronoun?
Undergraduate Education
Institution
Your answer
Major / Minor
Your answer
Degree Awarded
Your answer
Date Granted
MM
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DD
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YYYY
Cumulative GPA
Your total GPA during your undergraduate education
Your answer
Major GPA
Your GPA within your undergraduate major
Your answer
Previous Graduate Education (if applicable)
Institution
Your answer
Major / Minor
Your answer
Degree Awarded
Your answer
Date Granted
MM
/
DD
/
YYYY
Cumulative GPA
Your total GPA during your graduate education
Your answer
Major GPA
Your GPA within your graduate major
Your answer
Peace Corps Service
Start Date
MM
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DD
/
YYYY
COS Date
If still in service, please indicate your anticipated C.O.S. date.
MM
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DD
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YYYY
Country
Your answer
Assignment
Your answer
Language Learned
Your answer
Degree of Fluency Achieved
Additional Peace Corps Service (if applicable)
Response or Two-Year Serivce
Start Date
MM
/
DD
/
YYYY
COS Date
If still in service, please indicate your anticipated C.O.S. date.
MM
/
DD
/
YYYY
Country
Your answer
Assignment
Your answer
Languages Learned
Your answer
Degree of Fluency Achieved
Graduate School Application
Which graduate school are you applying to in conjunction with your Peaceworker Application?
Applications to the Shriver Peaceworker Program require acceptance to a graduate program at UMBC or one of our current consortium school partners. Please answer UMBC, UMD College Park, Johns Hopkins, etc...
Your answer
Which degree will you be seeking?
Your answer
What are your area(s) of social concern and issue(s) of greatest importance to you?
Your answer
Recommendation Providers
Please complete both sections to provide two separate recommenders, who can speak to your professional and service experience, commitment to social change leadership and overall suitability as a Shriver Peaceworker Fellow.

Your first reference should preferably be a supervisor level position with the Peace Corps, currently or in the past. Examples would include your Country Director, Program and Training Officer, or Associate Program Coordinator.

Your second reference should preferably be from an academic or other professional source.

Recommender 1's Name
Supervisor position within the Peace Corps
Your answer
Title
Your answer
Peace Corps Service Country
Your answer
Relationship
Your answer
Recommender 1's Email Address
Your answer
Phone
Your answer
Second Recommendation Provider
Recommender 2's Name
Academic or professional
Your answer
Title
Your answer
Institution
Your answer
Relationship
Your answer
Recommender 2's Email Address
Your answer
Phone
Your answer
Further Instructions to Complete Your Application
Note
***Also please be sure to only submit one application per enrollement cycle. Multiple submissions may cause a delay in the processing of your application.***
Have you completed the above form and are ready to submit it?
Yes to complete the application and then please click Submit
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