Peer Ed Application : Lifestyles Center

Peer Ed Application

Posted by Ted on Thursday, September 13, 2012 · Leave a Comment

Peer Ed Application

To apply for a Peer Educator position in the Lifestyles Center please fill out the following form. All applications are due by April 12, 2013. Any applications received after that date will not be reviewed.

Next Semester I will be (Select One)*
Name
FirstLast
Major/Interest:
Minor (If Declared):
Campus Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Permanent Address:
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Email:
Cell Phone:
Home Phone
Enter your Student ID# (to obtain class schedules for interviews)
Have you taken any GST303 classes?
Please list the name of two references (employer, staff/faculty member at Oswego or another University, Hall Director, Clergy, etc.) who may be contacted by a member of the interviewing committee. Relatives, RA's and friends are not acceptable. If this portion is not completely filled out and legible, you cannot be considered for the position.*
Name Title Address Phone Number E-mail
*
Name Title Address Phone Number E-Mail
*
Name Title Address Phone Number E-Mail
Why are you applying to be a Lifestyles Peer Educator? What do you hope to achieve for yourself and others?*
What previous experiences (academic, volunteer, personal or work-related) have prepared you in some way to be a peer educator?*
Being a peer educator can be demanding on your time. What other extracurricular and work responsibilities will you have and how will you manage these time commitments?*
Describe your experience and knowledge about the topic(s)/issue(s) addressed by this peer education program.*
What are common college student attitudes or issues that you would like to see challenged? What are some ways you think we can challenge these attitudes/issues?*
Peer educators are expected to be positive role models. Describe how you would be a positive role model to fellow Oswego State students.*
How did you hear about the Lifestyles peer education program?*

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