SITE LOCATOR FORM Peace Corps Tanzania

Return to Safety & Security Coordinator after 1 days at site

Name: Program: Village/Town: District: By what name are you known in your village/town?

Date: Region:

Volunteer Residence Address (or Postal Address)

Counterpart Contact Information

Counterpart!s "a#e$ %o& does PC contact your counterpart'

E-mail Address: Do you have a cell phone?

Where do you go to get e-mail access and how often do you go?

YES/NO YES/NO

If Yes ! what is the num"er? If you do not have networ# at your site! where do you have to go to get networ# and

Do you have networ# at your site?

how often do you go?

()ere do you *o for +an,in*-s)oppin*-posta' ()at is t)e na#e of your nearest nei*)+or' ()en you 0ea1e site2 &)o# at site do you infor# of your tra1e0 p0ans-itinerary' ()o is t)e 3i00a*e E4ecuti1e Officer .or Sc)oo0 %ead#aster for E5 PC3s/' %o& does PC contact t)is person' ()ere is t)e nearest Po0ice post' ()o is t)e co##andin* officer' %o& does PC contact t)is po0ice post' ()o is t)e nearest PC3 and )o& do you usua00y contact )i#-)er'

()at day.s/ do you usua00y *o'

List FO6R persons2 +usinesses OR or*anizations at or near your site &it) RELIA7LE te0ep)ones or 89&ay radios t)at &i00 +e &i00in* to assist you &it) co##unication$
Contact 1$ ()en is t)is p)one-radio a1ai0a+0e' %o& does PC contact t)is person-a*ency' Contact 8$ ()en is t)is p)one-radio a1ai0a+0e' %o& does PC contact t)is person-a*ency' Contact :$ ()en is t)is p)one-radio a1ai0a+0e' %o& does PC contact t)is person-a*ency' Contact $ ()en is t)is p)one-radio a1ai0a+0e' %o& does PC contact t)is person-a*ency' ()at is t)e MOST RELIA7LE #eans for Peace Corps to *et in contact &it) you' ()at is an a0ternate "O"9TELEP%O"E #eans for Peace Corps to *et in contact &it) you'
Describe in detail what Peace Corps will need to do to reach you by this method.

Location$

Location$

Location$

Location$

()at is t)e MOST RELIA7LE #eans for YOU to send an e#er*ency #essa*e TO Peace Corps'

()at is t)e na#e of t)e nearest )ospita0 in your area t)at )as +een reco##ended +y PCMO'

List TWO people or agencies at or near your site who can provi e you with !EL"#BLE transportation in an E$E!%EN&Y
"a#e$ Contact Info$ "a#e$ Contact Info$ ()at 0oca0 .Tanzanian/ radio stations do you 0isten to at your site'

DESCRIBE EXACTLY
LA"5MAR>S/

!ERE Y"#R !"#SE IS L"CATED: .I"CL65E EASIL; RECO<"I=A7LE

()ere is t)e nearest p0ace a s#a00 p0ane cou0d 0and .a f0at2 open area a+out ?@@# 0on* and ?@# &ide/' it fro# your site'

%o& far is

()ere is t)e nearest p0ace a )e0icopter cou0d 0and .any open area t)e size of a foot+a00 fie0d/' %o& far is it fro# your site'

DRA A SI$PLE% EASY T" &"LL" $AP T!AT S!" S T!E L"CATI"N "& Y"#R !"#SE &R"$ T!E NEAREST $AIN R"AD' 7e sure to inc0ude any easi0y reco*niza+0e
0and#ar,s and appro4i#ate distances and indicate t)e direction of "ort)A

'escri(e how you will get )rom your site to your primary &onsoli ation *oint
Be specific explain your route, the methods of transportation that you will be using and how long the trip usually takes.