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Northwest Missouri State University

2012-2013 Bearcat Peer Educators Application

S Number:
919 Number:
Current Address:
Phone Number:
Cumulative GPA:
Graduation Date:
Specific Interest Areas (alcohol education, relationships, e.g.):

How did you find out about Bearcat Peer Education?

Why are you interested in being a Bearcat Peer Educator?

Please list all other campus involvement and employment:

Why do you feel you would serve as a positive role model to your peers?

What is the most prevalent health issue facing Northwest students? Why?

What do you want to accomplish as a Bearcat Peer Educator?
How do you plan to do this?