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s.w.e.e.t. Peer Educators
Become a s.w.e.e.t. Peer Educator!
Peer Educator Application
Wellness Center - Counseling & Health Services
S.W.E.E.T. PEER EDUCATORS
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Become a s.w.e.e.t. Peer Educator!
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Become a s.w.e.e.t. Peer Educator!
Peer Educator Application
s.w.e.e.t. Peer Educator Reference
Form
Request a Program
S.W.E.E.T. PEER EDUCATOR APPLICATION
Complete this application & two references no later than
Wednesday, November 16, 2011
First Name:
Last Name:
Class Year:
GPA (2.5 minimum required):
Campus/Local Address:
City:
State:
- Select One -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
ZIP Code:
Permanent Address (if different from above):
City:
State:
- Select One -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
ZIP Code:
Cell Phone:
(
)
-
Home Phone:
(
)
-
Major/Minor:
Email Address:
Date of Birth (mm/dd/yyyy):
Are you a varsity athlete?:
- Select One -
Yes
No
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:
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