The Peace Corps has created a questionnaire to find out how many RPCVs are willing to go to Haiti with the Crisis Corps (a.k.a. Peace Corps Response.)

If you are an RPCVable to volunteer in Haiti, please copy fill out your responses and email them to: pcresponse [at] peacecorps.gov.

The Crisis Corps (a.k.a.) Peace Corsp Response is the agency’s program that engage RPCVs to serve in short-term, high-impact volunteer roles. Peace Corps Response - Haiti Response Questionnaire

Thank you for your interest in assisting Haiti during this time of emergency. To help us gauge the current level of interest among former Peace Corps Volunteers, please fill out this questionnaire. This is NOT an application. Please keep your answers brief (no more than 3 sentences). Please email your completed questionnaire to pcresponse@peacecorps.gov. [NOTE: please only use this form if you are a former Peace Corps Volunteer.]

Name: ______________________________

Country of Service (when you were a Peace Corps Volunteer): ________________________

Telephone: ____________________ Email Address: _______________

1. How soon would you be available to depart on a response assignment?

2. How long would you be able to serve?

3. What languages do you speak and with what proficiency?

4. What technical skills do you possess that would be beneficial in a disaster situation?

5. What prior experience have you had with disaster relief or emergency situations?

6. Peace Corps Response will most likely be sending Volunteers in the next month or so. Given this, are you open to being referred to another government agency or nongovernmental organization for an immediate assignment in Haiti?