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Peer Health Education Applicant Information
Peer Health Education Application Form
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Peer Health Educator Application:
Applications are due by March 29, 2013
Personal Information
Name:
Campus or Local Address:
Email Address:
Phone Number:
College Experience
Academic Class:
Expected date of graduation:
GPA last semester:
Cumulative GPA:
Are you in good academic and social standing?:
Yes
No
If no, please explain:
Leadership Experience/Activities
Please list Skidmore activities/organizations with which you have been involved/volunteer experience, etc (including any offices held).:
Please list any honors or awards received. Please include approximate dates.:
Activities: What other activities, internships, on- or off-campus jobs, etc. do you are plan to contribute to next year?:
Reflection Questions
Please tell us your motivation in becoming a Peer Health Educator.:
What prior training, experience, or knowledge do you have regarding health and wellness topics? Please note: These are not a prerequisite for applying to be a PHE.:
Describe any other experiences (extra-curricular, volunteer, leadership, etc) which are relevant to you becoming a Peer Health Educator.:
Describe some of your personal strengths and explain how you see them benefiting this group.:
Please provide the name and contact information (phone and/or email address) or one person (not related to you) who can speak to your qualifications.:
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