Add Your Story

• * Story Title
  (80 character limit)
• * Upload Story
  
  Please submit your story in Microsoft Word (.doc), rich text (.rtf) or plain text (.txt) format.
  DO NOT include spaces or special characters (&, #, !, ?) in the filename.
• 
  * My submission adheres to the story submission guidelines outlined above

Contact Information

• * First Name
  Middle Name
• * Last Name
• * City
  * State
  -- Select State -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (U.S.) Virginia Washington West Virginia Wisconsin Wyoming
• * Country
• * Email
  * Re-type Email
• * Telephone
  (xxx-xxx-xxxx)

Was your name different at the time of your Peace Corps employment? Yes No

First Name
Middle Name
Last Name

About Your Employment

• * Country
  -- Select Country of Employment --
• * Employment Dates
  -- Begin -- -- End --

Did you work for Peace Corps for an additional tour? Yes No



Additional Tour of Employment
Note: Please list above the tour which relates to this story prior to listing an additional tour.
Country
-- Select Country of Employment --
Employment Dates
-- Begin -- -- End --

About the Digital Library Project

• May a Peace Corps staff member or 50th anniversary project volunteer contact you if we have questions about your submission?
  * Yes No
• We anticipate great interest in the 50th anniversary among the domestic and international press, partner universities, RPCV groups and other organizations such as libraries and museums. May we provide your contact information (email and telephone) to groups interested in contacting you for interviews, exhibits, etc? [Note: Peace Corps does not release contact information to groups for the purpose of fundraising.]
  * YesNo
• We are working to establish a permanent home for original, primary source archival materials about the Peace Corps experience [Ex. letters, journals, Volunteer newsletters or cookbooks from your country of service, photos, slides, video or audio recordings taken while in service, artwork or artifacts, etc]. May we contact you at a future date about contributing your original materials?
  * YesNo
• If yes, please describe the original materials you have:
  
  characters remaining

Authorization and Agreement

• Peace Corps 50th Anniversary Digital Library Project Material Submission Authorization and Agreement I, on behalf of myself, heirs and assigns, do represent and agree to the following: 1). I am the lawful copyright or intellectual property right holder of the material submitted under this Authorization and Agreement which permits me to provide this material to the Peace Corps under this Authorization and Agreement . 2). I forever grant the Peace Corps a perpetual, worldwide, royalty-free, non-exclusive license in and right to sub-license the materials submitted, and authorize the Peace Corps to make any use of this material. It is my intention to give the Peace Corps the right to disseminate, reproduce, publish, publicize and make any uses of the materials submitted under this Authorization and Agreement, for any purposes whatsoever, through any forum or media possible. By submitting this material, it is my intention to provide the Peace Corps with the maximum reproduction, dissemination, publication, and all other possible usage rights possible by law. I understand that the Peace Corps may attribute my submission to me, and I hereby authorize the Peace Corps to make any reference to me in regard to these materials. By submitting material to the Peace Corps under this Authorization and Agreement, I understand and agree that this material will be subject to public disclosure under the Freedom of Information Act, may be made accessible to the public by the Peace Corps, and may be submitted to the National Archives and Records Administration and therefore publicly accessible. 3). I understand that the Peace Corps reserves the right to accept, reject or edit all submissions in whole or in part. Any submission under this Authorization and Agreement, if accepted by the Peace Corps under the terms of this Agreement, may be used, maintained or disposed of in the sole discretion of the Peace Corps. I acknowledge that regardless of whether the submission is accepted or rejected by the Peace Corps, it may not be returned to me. 4). I acknowledge that I will receive no financial compensation from the Peace Corps in consideration of my agreement to this Authorization and Agreement , or in regard to my provision of the above listed submissions. 5). My submission of this Authorization and Agreement and affirmative indication of acceptance of the terms of this Authorization and Agreement, through any physical, electronic, fax, or other means serves as my legally valid signature to this Authorization and Agreement, and has the full force and effect of my original written signature.
• * I accept the terms of the Peace Corps Material Submission Authorization and Agreement.
• 
  
   

• If you are experiencing difficulties submitting your materials, please email digital@peacecorps.gov to notify the system administrator.