Campus Peer Associate Application

Name: Date:
School or Home Address.:
Email: Cell:
Credits: Major: Current GPA:

What year of school will you be next year?

  1. Why are you applying for a Campus Peer Associate position?


  2. What specific peer group(s) are you interested in pursuing?
    Peer Advocate
    SAFE - Sexual Assault Facts and Education
    HIV/AIDS Peer Educator
    Substance Abuse Peer Educator
    HOPE (Healthy Options Peer Educators)

  3. Explain how you perceive the role of one in this (or these) position(s)?


  4. Explain any experience that you feel may qualify you for the position.


  5. List any campus organizations that you belong to and indicate offices that you hold.


  6. List hobbies and/or extra curricular activities in which you participate.


*NOTE: You will need to have three references - only one may be from a student who is a current Campus Peer Associate and the other two must be from faculty and/or staff. Of course, all three references may be from faculty and staff.


**DEADLINE TO RETURN APPLICATION AND REFERENCE FORMS IS FRIDAY, FEBRUARY 8, 2013.