Peer Educator Application

First Name: *

Last Name: *

Class Year: *

GPA (2.5 minimum required): *

Campus/Local Address: *

City: *

State: *

ZIP Code: *

Permanent Address (if different from above):

City:

State:

ZIP Code:

Major/Minor: *

Email Address: *

Date of Birth (mm/dd/yyyy):

Are you a varsity athlete?: *

How did you hear about s.w.e.e.t.?:

Do you know any current s.w.e.e.t. members?:

List all co-curricular activities & involvement, as well as other interests such as hobbies, sports & recreational activities:

List any relevant work experiences (including internships, work study, part-time or summer jobs, etc.):

SHORT ANSWER: Please respond briefly to the following questions:

Given the responsibilities outlined for the s.w.e.e.t. Peer Education program, what do you feel you can bring to the program and what to do you feel are your strengths?: *

Why are you interested in becoming a s.w.e.e.t. Peer Educator?: *

Define a healthy college lifestyle. Do you feel you make healthy lifestyle choices?: *

What student wellness issues personally concern you at SHU? Why?: *

Do you feel comfortable speaking in front of your peers?: *

When you are in a group, what role do you usually play?: *

Individual initiative is required to take on tasks and ensure that things get done. Describe a situation in which you had to take initiative and responsibility to accomplish a task: *

Briefly describe your personal, professional, and educational goals: *

Share any additional information you would like for the committee to know about you:

S.W.E.E.T. PEER EDUCATOR APPLICATION

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