UMSL Social Peers Application
Welcome and thank you for applying to be part of the UMSL Social Peers! Please complete the survey below and submit when you are finished. Just a few notes:

*  This program begins in September 2023 and ends in May 2024.
*  To be part of the program, you must commit to the following:
     a. Attend the Disability Awareness or Expectations Training
     b. Meet weekly with your peer for at least 30 minutes
     c. Meet weekly with a peer coordinator or coach for support (in-person or virtual)
     d. Participate in monthly social events
   
Thank you again and let us know if you have any questions!
Madeline Siener & Lindsay Athamanah
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Email *
What is your full name, preferred name, and pronouns *
What is your UMSL email? *
What is your gender? *
What is your current age? *
What is your race/ethnicity? *
What is your current year in school? *
What is your current or intended major? (Put NA if you do not have one yet) *
Which college do you belong to? *
What is your current grade point average (GPA)? *
Are you currently employed? *
What is your living arrangement? *
Have you had any experience interacting with a person who has a disability? (Check all that apply) *
Required
What are your current interests, hobbies, extracurricular activities?
What do you do with your friends for fun (e.g., movies, restaurants, bowling, board games, etc.)?
How do you communicate regularly with friends and family? (Check all that apply)
How many and which classes are you taking in the 2023 Fall semester?
What are your personal reasons for participating in the UMSL Social Peers program?
Will you commit to participating for at least the fall semester in the UMSL Social Peers Program?
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Will you commit to meeting with your peer weekly for 30 minutes?
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Will you commit to meeting weekly with a peer coordinator or coach for support?
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Will you commit to participating in monthly social events ?
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Is there anything else we would need to know or keep in mind for you to be successful as a part of this program?
By filling out this form and submitting it, you confirm you are applying for the UMSL Social Peers program and understand the time commitment and expectations that we have outlined. Please type your initials below to indicate you have read through and understand this form and you agree to apply to the UMSL Social Peers program: *
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