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S.W.E.E.T. PEER EDUCATORS
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Peer Educator Application
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Form
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S.W.E.E.T. PEER EDUCATOR APPLICATION
Complete this application & two references no later than
Wednesday, November 16, 2011


First Name: required
Last Name: required
Class Year: required
GPA (2.5 minimum required): required
Campus/Local Address: required
City: required
State: required
ZIP Code: required
Permanent Address (if different from above):
City:
State:
ZIP Code:
Cell Phone: required ( ) -
Home Phone: ( ) -
Major/Minor: required
Email Address: required
Date of Birth (mm/dd/yyyy):
Are you a varsity athlete?: required
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?: required
Why are you interested in becoming a s.w.e.e.t. Peer Educator?: required
Define a healthy college lifestyle. Do you feel you make healthy lifestyle choices?: required
What student wellness issues personally concern you at SHU? Why?: required
Do you feel comfortable speaking in front of your peers?: required
When you are in a group, what role do you usually play?: required
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: required
Briefly describe your personal, professional, and educational goals: required
Share any additional information you would like for the committee to know about you:


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