Healthy & Diverse Minds Peer Educator Application

Thank you for your interest in becoming a Healthy and Diverse Minds peer educator.

All Healthy and Diverse Minds peer educators are required to attend weekly team meetings.

Peer education applications are accepted on a rolling basis. If you are interested in joining, complete an application. If there are any openings, we will let you know. Otherwise, we will add your name to the waiting list and invite you to interview when openings become available.

Please complete this application and click the “Submit Form” button to forward it to the Counseling Center and Health Center. If you have any questions, please contact Amber Walser at 410-704-2512.

Please complete the application using Google Chrome or Internet Explore.

A) Demographics

First Name:

Middle Initial:

Last Name:

E-Mail:

Local Phone:

Local Address:

TU ID#:

Date of Birth:

Current Standing:

FreshmanSophomoreJuniorSenior

Major:

Expected Graduation Date:

B) Relevant Experiences

1. Please list any relevant courses related to mental health and diversity that you have completed while at TU.

2. Please list and describe any additional training, volunteer, and/or work experience.

3. Please list your on-campus involvement including clubs and activities. (Please use the format: Club/Activities – Your Role [e.g. member, leadership role] – Dates Involved – Time Commitment [hr/wk])

C) Questions Specific to Healthy & Diverse Minds PE Position

1. The most essential role of a Healthy & Diverse Minds Peer Educator is to promote the psychological and social wellbeing of a diverse student body at TU through ongoing peer-to-peer communication on diversity and social justice issues. With this in mind, please discuss in detail why you are interested in becoming a Healthy & Diverse Minds Peer Educator.

2. What do you hope to gain from your experiences as a Healthy & Diverse Minds Peer Educator?

3. What do you think are the most important qualities and skills that a Healthy & Diverse Minds peer educator should possess?

4. How did you hear about the Healthy & Diverse Minds Peer Education program?

I hereby, declare that all of the information provided on this application form is true to the best of my knowledge. Online Signature (Typing your name is equivalent to an online signature.)

Date: