MPCA Membership Form (Print this form): Minority Peace Corps Association membership is not restricted to RPCVs. It is also open to prospective volunteers, family, friends or to anyone whose goals are similar to those of the Minority Peace Corps Association.
As a MPCA member you help support MPCA's mission and you are entitled to the following benefits:
1. Quarterly MPCA newsletter 2. Discounts on MPCA merchandise 3. Invitations to MPCA community/social events 4. Opportunities to create volunteer initiatives in your community under auspices of the MPCA 5. Free membership on the listserv 6. Special access to MPCA Career Development site/Resume & Member Section 7. Membership to MPCA Book Club 8. Opportunity to start a MPCA chapter in your area.
The Minority Peace Corps Association does not discriminate based on race, color, national origin, religion, age, sex, handicap, political affiliation, or sexual orientation.
The Minority Peace Corps Association (MPCA) wishes to capture the ethnicity and gender of its members in an effort to fulfill its mission.
First Name:
Last Name:
Street Address:
City:
Zip Code:
State:
Employer:
Home Phone:
Email:
Work Phone:
Position:
This information is voluntary. Your response will not affect consideration of your membership application.
Fax:
Peace Corps information if applicable.
Country of Service:
Dates of Service:
Assignment:
Would you like to participate in our Mentor Program?
If applicable, please provide name of person referring you.
How did you hear about us?
AREAS OF INTEREST
Community Service
Leadership
Connections/ Communications
Youth Talks
Chapter Development
Newsletter
Speaker's Bureau
Financial Oversight
Website
Mentorship
Social Events
Fundraising
Park Clean-ups
Members Relations
Cultural Events
Community Service
Career Development
Book Club
Listserv
Chapters
Leadership
Movie Club
Please send my information to the Area Representative
Language Club
Outreach to volunteers in service
Chapters
MEMBERSHIP IS CURRENTLY FREE
Member Fee:
Total:
You can also support Minority Peace Corps Association by making a purchase on our online store at http://www.cafepress.com/minoritypca or making a donation to your favorite charity on the Minority Peace Corps Association behalf.
