VOLUNTEER REQUEST FORM

Peace Corps' Role in North Macedonia: To contribute to the social, economic, and human development of people in North Macedonia through working with collaborating agencies. Peace Corps Volunteers (PCVs) live and work in communities to promote world peace and friendship by partnering to advance shared development goals and through cross-cultural exchange. This allows the people of North Macedonia to understand American culture better and allows the PCVs to strengthen their understanding and appreciation of the culture in North Macedonia. Volunteers collaborate on locally prioritized projects in the areas of Community Development and English Education.

Peace Corps provides the following to PCVs:
• Pre- and in-service training events throughout their service;
• Supervision and support throughout their service in cross-cultural, technical, safety, health and well-being;
• Housing expenses and monthly living allowance (includes allowance for meals, transportation, and other incidental costs.);
• Medical care.

If you have any questions regarding the application process contact us at: mk-pcv@peacecorps.gov

Note: It will take about 10 minutes to fill out the application. The application is valid for 2 years.

PARTNER BACKGROUND

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* 1. Organization/Educational Institution Full Legal Name in English:

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* 2. Address:

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* 3. Type of Organization/Educational Institution (select all the apply):

Local Government Municipality

Public Institution/Enterprise

NGO

Center for Persons with Special Needs

Kindergarten

Primary School

Secondary School

University

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* 4. Has this organization/educational institution hosted a Peace Corps Volunteer (PCV) in the past?

Yes

If yes, please provide the name of the PCV and the years:

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* 5. Is any of the employees in your organization related to a Peace Corps staff member?

Yes

If yes, full name of the Peace Corps staff.

COUNTERPART & SUPERVISOR CONTACT INFORMATION

All Peace Corps Volunteers must work closely with another staff member who is doing similar work. The purpose of this is so that there can be direct skills transfer between the Peace Corps Volunteer and the staff member. The staff member is also expected to support the Volunteer in their adjustment to their new workplace and community. The primary staff member that a Volunteer works with is called a counterpart. Please answer the questions below regarding the counterpart that you will assign to the Peace Corps Volunteer.

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* 6. For the COUNTERPART that will be assigned to work with the Volunteer, please provide:

Full name:

Title:

Phone number:

Email address:

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* 7. English Level:

Fluent

Good

Basic

None

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* 8. Previously worked with a PCV?

Yes

If yes, please provide the name of the PCV and the years:

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* 9. For the SUPERVISOR of the Volunteer, please provide:

Full name:

Title:

Phone number:

Email address:

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* 10. English Level:

Fluent

Good

Basic

None

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* 11. Other colleagues that will work with the PCV, if any. For each please provide their names and contact information (phone number and email address).