SUBMIT YOUR PEACE CORPS STORY & PHOTOS

SUBMISSION FORM

For Objects, Photos or Stories Donated to Museum of the Peace Corps Experience
Date

Month Day Year
Date
Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email
example@example.com
Phone Number

Area Code Phone Number
PEACE CORPS SERVICE

I am a former Peace Corps Volunteer I am currently serviI ng as a Peace Corps Volunteer I am a family member or friend of a Peace Corps Volunteer I was a member of Peace Corps Staff
WHICH COUNTRY OR COUNTRIES?
YEARS OF SERVICE?
DONATION OF OBJECT, PHOTO OR STORY

I wish to donate one or more objects to the Museum I don't wish to donate an object, but will submit a photo of an object I have a story associated with the object I do not have a story, but will draft one and submit according to guidelines (below)
DESCRIPTION OF ARTIFACT(S) YOU WISH TO DONATE
Describe in a separate.pdf, .doc, .docx or .rtf file and upload it here. Include the name, dimensions, materials, and primary use of donated object(s). If you want to donate several objects, please list each, providing this information for each artifact separately.
GUIDELINES FOR STORY SUBMISSION
- Describe how you first encountered the object.
- What significance did it have for you or your capacity to serve?
- Describe the object's symbolic or practical significance within the culture where it is made or used.
- Were there events - funny, tragic or mysterious - that connected the photo or object with your service?
- Did you bring the object or objects home with you after your service?
- If there connections between the photo/object and specific book titles, websites, films, videos, recordings, research projects or photo collections that might enhance the reader's understanding of your object(s), please list them in the following section.
UPLOAD STORY HERE

Browse Files
Select a .pdf, .doc, .docx or .rtf file which contains your story and upload it here. Cancel of
INSERT - URLs, website addresses, videos, audio files, films or picture collections here.
UPLOAD IMAGES HERE - Include a clear, close-up photo of the object, and a recent photo of the donor or author.

Browse Files
Select .JPEG or .PNG files and upload them here. Cancel of
UPLOAD AUDIO FILES HERE - If you are able to narrate your story into a phone app or digital recorder, attach the .mp4 file here.

Browse Files
Select a .MP4 file and upload it here. Cancel of

SUBMISSION FORM