Request to Contribute to the Collection

Museum of the Peace Corps Experience
Request to Contribute to the Collection

As a potential donor, use this form to submit a request to contribute your artifacts/ archival materials to the Museum of the Peace Corps Experience. Artifacts/archival materials include but are not limited to; artwork, clothing, textiles, tools, souvenirs, jewelry, instruments, photographs, books, journals, diaries, scrapbooks, articles, newspaper clippings, videos, audio, etc.
Donor Name *

Prefix First Name Last Name Suffix
Date

Month Day Year
Date
Name Associated with Donation (if not the donor)

First Name Last Name
Country(s) of Service *
Site (city/town) *
Dates of Service *
ie. July 2009- September 2011
Sector of Service *
ie. Health, Education, Agriculture
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Email
example@example.com
List of items to be donated *
ie. Swear-in outfit, mortar and pestle, doll, etc.
Why are you donating these artifacts/archival matieral to the Museum of the Peace Corps Experience? *
What is the significance of this collection? *
What Era were these items used in? *
ie. 1960s, 1970s
Where were these items used? (Location) *
Please submit photographs of your artifacts/archival material to be considered for the museums permanent collection

Browse Files
Multiple files allowed. Max file size for each file is 100MB. Cancel of
By submitting this form, I understand and agree as a potential donor to the Museum of the Peace Corps Experience that the museum has the right to not accept everything in my collection. The Museum does not accept unsolicited donations. All donations must be approved by the Museum's Collection Committee.

If you have any questions regarding the donation process, please refer to our FAQ page or contact collections@peacecorpsmuseum.org
By checking the box below, you agree to the statement above. *

I agree with the statement above
Email
example@example.com
Email
example@example.com
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Museum of the Peace Corps Experience

Request to Contribute to the Collection