Part of the Division of Student Affairs

HEART Peer Health Educator Application Form

Please fill out the form completely. (Values with a * are required fields.)

Returning peers must have the following to be considered for paid positions with the new combined Peer Education program for 08-09:

  • Minimum 2.5 GPA
  • Interview with administrative staff of new peer program
  • One (1) written recommendation from past peer group staff member

 

Personal Information
Time at Temple

 

References

 

Please Answer the Following Questions
Why are you applying to be a peer health educator?  What do you hope to achieve as a peer educator?*
What previous experiences (academic, volunteer, personal or work-related) have prepared you in some way to be a peer health educator?*
Describe any prior public speaking experiences.*
Describe your experience and knowledge with the topics/issues addressed by this peer health education program.*
How do you think your decisions and experiences around drugs and alcohol might affect your credibility as a peer educator?*
Are there any topics that are extremely uncomfortable for you to discuss?*
This program calls for a 45 hour commitment per semester outside of class and at least a 10 hour commitment per week after the class ends.  In addition there is a mandatory meeting every Wednesday from 3:30-4:30.  Are these time commitments you can make?*
How did you hear about this peer health education program?*