Bearcat Peer Educators Application

Name:

Northwest Email:

919 Number:

Current Address:

Phone Number:

Major/Minor:

Cumulative GPA:

Estimated 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?