Difference between pages "Forms" and "Dee VanValkenburg"

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{{Volunteerinfobox
  | __TOC__
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|firstname=Randall
  |}
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|middlename=Dee
 
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|lastname=VanValkenburg
{|
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|country=Ecuador
|
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|yearservicestarted=1993
Like all big organizations, Peace Corps has a lot of forms and it can be daunting for both the applicant and current volunteer to know which form to use; or even if the form exists!
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|yearserviceended=1995
 
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|region=Manabi
In the [http://www.peacecorpsjournals.com/manual/ Peace Corps Manual] there is even a section on the [http://www.peacecorpsjournals.com/manual/MS890.html management of forms] and they even have a [http://www.peacecorpsjournals.com/manual/MS890-B.doc form about forms]
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|groupcode=Omnibus 70
 
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|state=Kansas
Below is a user-supplied list of forms relating to serving with the U.S. Peace Corps.
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|uscity=Topeka
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|program=Education
[[Image:Wallofforms.JPG]]<br><center>'''Don't Panic!''' breathe...</center>
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}}
|}
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==Applicants==
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{| class="wikitable sortable" border=1 style="text-align:center"
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|-
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! width="300" | Form<br>
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! width="300" | Descriptions<br>
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! width="300" | Source<br>
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|-
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| [https://www.peacecorps.gov/apply/now/index.cfm?& Application Form]
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| Application
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Romantic.pdf Romantic Involvement Worksheet]
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| Application
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Vegetarian.pdf Vegetarian Questionnaire]
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| Application
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Withoutspouse.pdf Serving Without Spouse (SWO) Questionnaire]
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| Application
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://www.peacecorp.gov/multimedia/pdf/library/peacecorpsmedinfo.pdf Peace Corps Medical Information for Applicants]
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| Application / Medical
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Exam_eye_pc116v.pdf Prescription for Eyeglasses]
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| Application / Medical
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Exam_dental_pc1790D.pdf Report of Dental Evaluation]
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| Application / Medical
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| [[Medical and Dental Forms]]
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|-
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| [http://peacecorpswiki.org/images/Exam_medical_pc1790S.pdf Report of Medical Evaluation]
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| Application / Medical
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| [[Medical and Dental Forms]]
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|-
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| [http://peacecorpswiki.org/images/Physical_abilities_form.pdf Report of Physical Abilities]
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| Application / Medical
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| [[Medical and Dental Forms]]
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|-
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| [http://peacecorpswiki.org/images/ReferenceForm.pdf Confidential Reference Form]
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| Application / References
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Expense_dental_pc1570d.pdf Authorization for Applicant Medical Expenses – Dental Examination]
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| Application / Financial
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Expense_eye_pc1570v.pdf Authorization for Applicant Medical Expenses – Eyeglass Prescription & Measurement]
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| Application / Financial
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Expense_medical_pc1570p.pdf Authorization for Applicant Medical Expenses – Physical Examination]
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| Application / Financial
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|-
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| [http://peacecorpswiki.org/images/Studentloans-lg2.pdf Student Loans]
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| Application / Financial
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| [http://www.peacecorps.gov Peace Corps Headquarters]
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|}
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+
== Volunteers ==
+
 
+
{| class="wikitable sortable" border=1 style="text-align:center"
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|-
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! width="300"| Form<br>
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! width="300" | Descriptions<br>
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! width="300" |Source<br>
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-A.doc Settling-in Allowance Volunteer Survey]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-B.doc Analysis and Request for Change in Settling-In Allowance]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C.doc Guidance for Completing the Market Basket Survey and Volunteer Living Allowance Survey]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-A1.xls Market Basket Survey - Template A1]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-A2.xls Market Basket Survey - Template A2]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-B.xls Market Basket Survey Worksheet - Template B]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-C.doc Living Allowance Survey Cover Sheet - Template C]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-D.xls Living Allowance Survey - Template D]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-E1.xls Living Allowance Data Worksheet - Template E]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-F.xls Living Allowance Data Analysis - Template F]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-C-G.xls Comparison of Market Basket Survey and Living Allowance Results - Template G]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS221-D.doc PC-477 Peace Corps Volunteer Certificate of Non-Indebtedness and Accountability for Property ]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS221.html MS 221: Volunteer Allowances]
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|-
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| [http://www.peacecorpsjournals.com/manual/ms223-ef%5B1%5D.pdf Designation of Beneficiary for Peace Corps Life Insurance]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS223.html MS 223: Volunteer/Trainee Readjustment Allowance]
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|-
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| [http://www.peacecorpsjournals.com/manual/ms223-gf%5B1%5D.pdf Application to Allot or Withdraw Readjustment Allowance]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS223.html MS 223: Volunteer/Trainee Readjustment Allowance]
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|-
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| [http://www.peacecorpsjournals.com/manual/ms223-hf%5B1%5D.pdf Authorization for Purchase of U.S. Savings Bonds By Volunteer]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS223.html MS 223: Volunteer/Trainee Readjustment Allowance]
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|-
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| [http://www.peacecorpsjournals.com/manual/ms223-hf%5B1%5D.pdf Authorization for Purchase of U.S. Savings Bonds By Volunteer]
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| Volunteer Leave and Allowances
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| [http://www.peacecorpsjournals.com/manual/MS223.html MS 223: Volunteer/Trainee Readjustment Allowance]
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|-
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| [http://www.peacecorpsjournals.com/manual/pc_2066.pdf Certification of Eligibility for Deferment of Repayment of Student Loan Based on Service as a Peace Corps Volunteer]
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| Volunteer Taxes, Loans, Debts, Reimbursements
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| [http://www.peacecorpsjournals.com/manual/MS231.html MS 231: Volunteer Education Loans]
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|-
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| [http://www.peacecorpsjournals.com/manual/pc_2067.pdf Certification of Eligibility for Student Loan Cancellation Based on Service as a Peace Corps Volunteer]
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| Volunteer Taxes, Loans, Debts, Reimbursements
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| [http://www.peacecorpsjournals.com/manual/MS231.html MS 231: Volunteer Education Loans]
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|-
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| [http://www.peacecorpsjournals.com/manual/ms232-af.pdf Peace Corps Volunteer Certificate of Non-Indebtedness and Accountability for Property]
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| Volunteer Taxes, Loans, Debts, Reimbursements
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| [http://www.peacecorpsjournals.com/manual/MS232.html MS 232: Volunteer In-Country Debts to Third Parties]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS235-A.pdf Non-evacuation Volunteer/Trainee Property Claim Form]
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| Volunteer Taxes, Loans, Debts, Reimbursements
+
| [http://www.peacecorpsjournals.com/manual/MS235.html MS 235: Volunteer/Trainee Losses of Property and Cash]
+
|-
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| [http://www.peacecorpsjournals.com/manual/MS235-B.pdf Non-evacuation Volunteer/Trainee Cash Claim Form]
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| Volunteer Taxes, Loans, Debts, Reimbursements
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| [http://www.peacecorpsjournals.com/manual/MS235.html MS 235: Volunteer/Trainee Losses of Property and Cash]
+
|-
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| [http://www.peacecorpsjournals.com/manual/MS235-C.pdf Evacuation Volunteer/Trainee Property and Cash Claim Form]
+
| Volunteer Taxes, Loans, Debts, Reimbursements
+
| [http://www.peacecorpsjournals.com/manual/MS235.html MS 235: Volunteer/Trainee Losses of Property and Cash]
+
|-
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| [http://www.peacecorpsjournals.com/manual/ms236-bf.pdf Authorization to Withdraw from Readjustment Allowance Account for Payments of Federal Income Tax]
+
| Volunteer Taxes, Loans, Debts, Reimbursements
+
| [http://www.peacecorpsjournals.com/manual/MS236.html MS 236: Volunteer Allowances and Federal Income Tax]
+
|-
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| [http://www.peacecorpsjournals.com/manual/ms236-bf.pdf Authorization to Withdraw from Readjustment Allowance Account for Payments of Federal Income Tax]
+
| Volunteer Taxes, Loans, Debts, Reimbursements
+
| [http://www.peacecorpsjournals.com/manual/MS236.html MS 236: Volunteer Allowances and Federal Income Tax]
+
|-
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| [http://www.peacecorpsjournals.com/manual/ms253-af.pdf Reference Standard Form 76 "Official Election Balloting Material-Via Air Mail"]
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| Volunteer Support Functions
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| [http://www.peacecorpsjournals.com/manual/MS253.html MS 253: Voter Assistance Program]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/ms266-af.pdf Attending Physician's Report for Dependents of Peace Corps Volunteers]
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| Trainee/Volunteer Medical Support
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| [http://www.peacecorpsjournals.com/manual/MS266.html MS 266: Post-Service Medical Benefits for Volunteers, Trainees, and Dependents]
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|-
+
| [http://www.peacecorpsjournals.com/manual/MS284-D-ReasonCodes.doc Resignation Reason Code Reporting ]
+
| Volunteer Transfers, Completion of Service, Termination
+
| [http://www.peacecorpsjournals.com/manual/MS284.html MS 284, Early Termination of Service]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS284-D-Vols.doc Resignation Form - Volunteer Copy]
+
| Volunteer Transfers, Completion of Service, Termination
+
| [http://www.peacecorpsjournals.com/manual/MS284.html MS 284, Early Termination of Service]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS284-E.doc Designation of Travel]
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| Volunteer Transfers, Completion of Service, Termination
+
| [http://www.peacecorpsjournals.com/manual/MS284.html MS 284, Early Termination of Service]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/ms285-ad.pdf Description of Service Form]
+
| Volunteer Transfers, Completion of Service, Termination
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| [http://www.peacecorpsjournals.com/manual/MS285.html MS 285: Volunteer Description of Service Statement and Certificate of Group Health Coverage]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS401-D.doc Medevac Access Form]
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| Safety and Security
+
| [http://www.peacecorpsjournals.com/manual/MS401.html MS 401 Domestic Physical Security]
+
|-
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| [http://www.peacecorpsjournals.com/manual/MS543-A.doc Volunteer Computer Guidelines Signature Form]
+
| Computers and Information Processing
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| [http://www.peacecorpsjournals.com/manual/MS543.html MS 543: Use of IT Systems by Volunteers, Trainees, and Returned Peace Corps Volunteers]
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|-
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| [http://www.peacecorpsjournals.com/manual/MS543-B.doc RPCV Computer Usage Form]
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| Computers and Information Processing
+
| [http://www.peacecorpsjournals.com/manual/MS543.html MS 543: Use of IT Systems by Volunteers, Trainees, and Returned Peace Corps Volunteers]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS543-C.doc Mandatory Guidelines for RPCV Use of Peace Corp-Provided IT Equipment]
+
| Computers and Information Processing
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| [http://www.peacecorpsjournals.com/manual/MS543.html MS 543: Use of IT Systems by Volunteers, Trainees, and Returned Peace Corps Volunteers]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS720-A.doc PC-809 - PCPP Application Form]
+
| Special Funds and Accounts
+
| [http://www.peacecorpsjournals.com/manual/MS720.html MS 720 Peace Corps Partnership Program]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS720-B.doc PC-808 - PCPP Final Report]
+
| Special Funds and Accounts
+
| [http://www.peacecorpsjournals.com/manual/MS720.html MS 720 Peace Corps Partnership Program]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS720-C.doc PC-807 - Transfer of Responsibility]
+
| Special Funds and Accounts
+
| [http://www.peacecorpsjournals.com/manual/MS720.html MS 720 Peace Corps Partnership Program]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS720-D.doc PC-810 - PCPP Cancellation Report]
+
| Special Funds and Accounts
+
| [http://www.peacecorpsjournals.com/manual/MS720.html MS 720 Peace Corps Partnership Program]
+
|-
+
| [http://www.peacecorpsjournals.com/manual/MS720-E.doc PC-812 - PCPP Budget Reconciliation Memo]
+
| Special Funds and Accounts
+
| [http://www.peacecorpsjournals.com/manual/MS720.html MS 720 Peace Corps Partnership Program]
+
|}
+
 
+
 
+
 
+
==Returned Volunteers==
+
 
+
 
+
{| class="wikitable sortable" border=1 style="text-align:center"
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|-
+
! width="300"| Form<br>
+
! width="300" | Descriptions<br>
+
! width="300" |Source<br>
+
|-
+
| [http://www.opm.gov/forms/pdf_fill/SF3108.pdf Application to Make Service Credit Payment - Federal Employees]
+
| Federal Retirement
+
| [http://www.peacecorps.gov/index.cfm?shell=resources.former.benefits.fedretire Peace Corps Headquarters]<br>[http://www.opm.gov/retire/pubs/handbook/hod.htm U.S. Office of Personnel Management]
+
|-
+
| [http://www.opm.gov/forms/pdf_fill/SF2803.pdf Application to Make Service Credit Payment - Civil Service]
+
| Federal Retirement
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| [http://www.peacecorps.gov/index.cfm?shell=resources.former.benefits.fedretire Peace Corps Headquarters]<br>[http://www.opm.gov/retire/pubs/handbook/hod.htm U.S. Office of Personnel Management]
+
|-
+
| [https://www.clements.com/pdf/CC_faq.pdf Corps Care FAQ]
+
| Medical / CorpsCare
+
| [http://www.peacecorps.gov/index.cfm?shell=resources.former.benefits.healthben.glance Peace Corps Headquarters - Health Benefits]<br>[http://www.clements.com/expatriate/peacecorps/overview.asp Clements International]
+
|-
+
| [http://www.peacecorps.gov/rpcv/benefits/postservicehandbook.pdf Post Service Health Benefit Guide]
+
| Medical
+
| [http://www.peacecorps.gov/index.cfm?shell=resources.former.benefits.healthben.hbguide Peace Corps Headquarters - Health Benefits]
+
|}
+
 
+
==Staff==
+

Latest revision as of 09:18, 21 May 2014



{{#if:Randall|Firstname::Randall|}} {{#if:Dee|Middlename::Dee|}} {{#if:VanValkenburg|Lastname::VanValkenburg|}}{{#if:Ecuador||}}

{{#if:|
{{{flickr}}}|}}{{#if:|
[[Image:{{{image}}}|250px]]|}}

Country Served in::Ecuador
Years:|}} Started service in::1993|}}{{#if:1995|-|}}{{#if:1995|Ended service in::1995|}}
Group Code|}} ,|x|Group code was::x}}
Site(s)|}} ,|x|Name of community was::x}}{{#arraymap:|,|x|, Name of community was::x}}{{#arraymap:|,|x|, Name of community was::x}}
Region(s)|}} ,|x|Name of region was::x}}{{#arraymap:|,|x|, Name of region was::x}}{{#arraymap:|,|x|,Name of region was::x}}
Program(s)|}} Served in sector::Education|}}{{#if:|,[[Served in sector::{{{program2}}}]]|}}{{#if:|,[[Served in sector::{{{program3}}}]]|}}
Assignment(s)|}} [[Primary assignment was::{{{assignment01}}}]]|}}{{#if:|,[[Primary assignment was::{{{assignment02}}}]]|}}{{#if:|,[[Primary assignment was::{{{assignment03}}}]]|}}
From US state|}} ,|x|Is from state::x}}
From US town/city|}} ,|x|Is from town or city::x}}
{{#if:1993|Volunteer name was::Randall VanValkenburg|}} {{#if:1993|started in Ecuador 1993|}}
{{#if:1993|{{#ask:Served in::EcuadorStarted service in::1993|format=list|limit=15}}|}}
{{#if:Manabi|Region: Manabi|}}
{{#if:Manabi|{{#ask:Served in::EcuadorName of region was::Manabi|format=list|limit=15}}|}}
{{#if:|Region: [[{{{region2}}}]]|}}
{{#if:|{{#ask:Served in::Ecuador[[Name of region was::{{{region2}}}]]|format=list|limit=15}}|}}
{{#if:Education|Education in Ecuador: |}}{{#ifexist:Education|25px|}}
{{#if:Education|{{#ask:Served in sector::EducationServed in::Ecuador|format=list|limit=10}}|}}
{{#if:|{{{program2}}} in [[:Category:Ecuador_{{{program2}}}|Ecuador]]: |}}{{#ifexist:|[[Image:{{{program2}}}.gif|25px]]|}}
{{#if:|{{#ask:[[Served in sector::{{{program2}}}]]Served in::Ecuador|format=list|limit=10}}|}}
Other Volunteers who served in Ecuador{{#if:Ecuador|:|}}
{{#ask:Served in::Ecuador|format=list|limit=15}}
Projects in Ecuador{{#if:Ecuador|:|}}
{{#ask:Project in::Ecuador|format=list}}
Don't see yourself, Add yourself or a friend!

Enter your first and last name{{#forminput:Volunteer}}

{{#if:|Mapped Volunteers around Ecuador (85).|}}

{{#if:|You located yourself at based on your site: [[]] {{#if:{{#geocode:{{{site}}},Ecuador}}|[[Location Coordinates::{{#geocode:{{{site}}},Ecuador}}]]}} }}

{{#if:|{{#compound_query:Location Coordinates::+;?Location Coordinates;icon=Vol.PNG‎|format=openlayers height=400}}|}}

{{#if:1993||}} {{#if:1993||}} {{#if:1993||}} {{#if:|[[category:]]|}} {{#if:|[[category:]]|}} {{#if:|[[category:]]|}} {{#if:|[[category:]]|}} {{#if:Manabi||}} {{#if:|[[category:]]|}} {{#if:||}} {{#if:||}} {{#if:Omnibus 70||}} {{#if:Education||}} {{#if:|[[category:Ecuador_{{{program2}}}]]|}} {{#if:Education||}} {{#if:|[[category:{{{program2}}}]]|}} {{#if:|[[category:Ecuador_{{{assignment01}}}]]|}} {{#if:|[[category:Ecuador_{{{assignment02}}}]]|}} {{#if:|[[category:Ecuador_{{{assignment03}}}]]|}} {{#if:|[[category:Ecuador_{{{assignment04}}}]]|}} {{#if:|[[category:{{{assignment01}}}]]|}} {{#if:|[[category:{{{assignment02}}}]]|}} {{#if:|[[category:{{{assignment03}}}]]|}} {{#if:|[[category:{{{assignment04}}}]]|}}