Membership Signup – Step 2 – Returned Peace Corps Volunteers of Washington D.C.

Membership Signup – Step 2

Complete the form below to sign up for a One Year Regular Membership

Information captured here will only be accessible to RPCV/W administrators to better understand and serve our membership base.

Fields marked with * are required.

Contact Information

Your Name(Required)

First Last

Primary Email(Required)

Email Address Confirm Email Address

Primary Phone(Required)

Your Mailing Address

Street Address Address Line 2 City State ZIP Code

Your Peace Corps Service

What is your first country of service?(Required)

What is your second country of service?(Required)

What years did you serve? If none, write "N/A". (Example: 2019 – 2021)(Required)

Let's connect

LinkedIn URL

Personal Website URL

Facebook Username

Instagram Handle

Tell us more about yourself

Job Title

Employer

Do you identify as:

A person of color

Hispanic/Latino

LGBTQ+

What is your race?

What is your gender?(Required)

What is your birthdate?(Required)

Write a few lines about yourself

Use this blurb to describe your service, your work and whatever else you want other members to know. You may include hyperlinks and alternative methods of contact. We recommend you do not disclose private email addresses or phone numbers. (255 maximum character limit)