Peer Health Application

Name Name First Last
Class Year
Email
Phone Phone - ### - ### ####
Why are you interested in becoming a Peer Health Educator?
If all of the stipend positions are filled, would you be interested in a volunteer position that is less of a time commitment?

If all of the stipend positions are filled, would you be interested in a volunteer position that is less of a time commitment? Yes No
What prior training, experience, or knowledge do you have that’s relevant to health education? Describe any other experiences (extracurricular, volunteer, leadership, etc.) that are relevant to your becoming a Peer Health Educator.
Being a Peer Health Educator requires a firm commitment of three to four hours per week. We meet weekly during the semester and sponsor various programs on a monthly basis. What other academic, personal, and extracurricular responsibilities would you need to balance in order to be a productive and effective member of the Peer Health team?
Describe some of your personal strengths and experiences working with your peer group and explain how you see them benefiting the group.
Are you comfortable with facilitating and presenting information to a group of 10 or more students? What is the most engaging presentation you have experienced? What particular qualities made it so engaging? Which of those qualities would you wish to integrate into your style as a Peer Health Educator?
What are some Peer Health events/panels/lectures/programs you could imagine implementing as a Peer Health Educator? Be creative!
Please check all of your areas of interest in leading Peer Health groups/events/tabling/dorm programs on campus.

Please check all of your areas of interest in leading Peer Health groups/events/tabling/dorm programs on campus. Sexual Health Mental Health Education Meditation Body Positivity Positive Psychology Minfulness Eating Disorders Suicide Prevention Tai Chi Stress Reduction Gratitude Self-Care Fitness Harm Reduction Other Other
Are you interested in being a member of the Dime Store as part of your work for Bard Peer Health?

Are you interested in being a member of the Dime Store as part of your work for Bard Peer Health? Yes No
If yes, what type of position will you be seeking?

If yes, what type of position will you be seeking? Stipend Volunteer
What days and times are you available for an interview in the next two weeks?