Wellness Initiative Application
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Email *
What are your name and pronouns? *
What year are you in, of what degree? (ex. 3rd year, PhD)
What building are you in (or will be in)?
What department are you in?
Which roles would you be interested in, within the initiative? (please select all that apply - or suggest something else!) *
Required
Why are you interested in being involved?
Would you be willing to commit to 1 hour per week, with additional hours before/during events, etc.? *
Have you ever had to deal with confidential data/information (ex. student information, grades, etc.)? How did you approach this? *
Have you participated in mental health, wellness or other outreach groups in the past? If so, please tell us a bit about your experience.
Is there anything else you'd like us to know?
Have you attended any of the Wellness Initiative or other student focused mental health events?
A copy of your responses will be emailed to the address you provided.
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