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Peer Educator Application

Upon completion of the form, you will hear from Vandal Health Education staff within seven (7) days. The staff member will contact you to schedule an interview and time for a short presentation. Please prepare a 10-15 minute presentation on a health topic of your choice. More details will be available via email.

1. Name *This question is required.

2. Email *This question is required. This question requires a valid email address.

3. Contact Number *This question is required. This question requires a valid number format.

4. Mailing Address *This question is required.

5. Major *This question is required.

6. Minor ( If Applicable ) *This question is required.

7. Year In School *This question is required.

8. Cumulative GPA *This question is required.

9. Number of credits enrolled in for semester you are applying to be peer educator ? *This question is required.

10. What semester would you like to start with Vandal Health Education? *This question is required.

11.

We have internship and practicum opportunities through various departments. Through which department are you seeking credit? Please select other if none apply.

*This question is required.

Please enter an 'other' value for this selection.

12. Why are you interested in being a peer educator?
*This question is required.

13. Describe the role peer education can play on campus:
*This question is required.

14. What experiences do you have that you feel would make you a great peer educator?
*This question is required.

15.

Being a peer educator can be very demanding of your time. What other activities are you involved in (such as Greek Life, student organizations, jobs, athletics, etc.) and how will you balance these commitments?

*This question is required.

16. As a peer educator you will be working as part of a team. Describe your experience in working as a team member. What qualities and skills do you have that will make the team experience productive?
*This question is required.

17. What do you think will be the biggest challenge for you as a peer educator?
*This question is required.

18. In your opinion, what are some issues that your peers experience while at college? How can you impact these experiences?
*This question is required.

19.

Below are potential internship topics or focus areas. While all students can work within and between topics, it is important to identify your own passions. You will have the opportunity to focus on topics that are most interesting to you. Please rank the following from most (1) to least (5) interesting.

*This question is required. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4
Sexual Health (including healthy relationships, unintended pregnancy prevention, and STI prevention)	1	2	3	4
Alcohol & Other Drugs (including bystander intervention, safer drinking strategies, other drug use, tobacco cessation, tobacco-free campus)	1	2	3	4
Nutrition (including healthy eating, eating on a college budget, and cooking, in addition to body image, body positivity and eating disorder awareness)	1	2	3	4
Mental Health (including how to help a friend, suicide prevention, stress reduction and management, healthy coping strategies)	1	2	3	4

20. What peer education responsibilities are of interest to you (check all that apply)?
*This question is required.

Event Planning
Presenting and facilitating workshops/presentations
Tabling
Social Media and Marketing
Serving in the Well Space

21.

Please attach resume and cover letter stating why you are interested in an internship as a peer educator with Vandal Health Education.

*This question is required.

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