LEAP& SIGNA Spring 2020 Undergraduate Application

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Please read the descriptions of each clinical position carefully. The links are provided for descriptions and this information is also available in the email. Deadline for submission is Monday, November 18, 2019.

https://docs.google.com/document/d/12EjE9OLYWLcCDWXUTmdP514-n_tW78kl6uTLBw-6XBU/edit?usp=sharing

https://docs.google.com/document/d/15EeqU4yi3RPB2uy1xCaMVStWrL2Am81mkSIIBZnRbPg/edit

Name (Last, First)

Email address (terpmail only)

Major, minor (Note: LEAP only for HESP majors)

Year of Undergraduate Study

Sophomore (can only apply to LEAP)

Junior

Senior

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UID Number

Have you taken or will you be taking the following courses in Spring 2020?

HESP 202

HESP 305

HESP 311

HESP 400

HESP 402

Current Overall GPA

Current Major GPA

I am interested in (Please check all that apply):

A. Being a LEAP Undergraduate clinician for 3 credit hours (HESP majors only)

B. Being a Peer Coach in SIGNA for 3 credit hours (Juniors & Seniors ONLY-all majors welcome)

C. Being a Peer Mentor in SIGNA for 1 credit hour (Juniors & Seniors ONLY-all majors welcome)

D. HESP 418 (for senior HESP majors who have taken HESP 415 ONLY)

I have filled out more than one UG clinic experience preference above and my #1, #2 and #3 rank order choices are (please indicate in the space below and include the number ranking next to each).

Please bullet your proposed course schedule for the spring 2020 semester to include days/times of classes and jobs (if applicable).

For LEAP only: You must be available a total of 10-11 hours a week on Monday, Wednesday, and Friday. For morning LEAP you must be available from 8:30 a.m. - 12:30 p.m. For afternoon LEAP you must be available from 12:30 - 4:30 p.m. Please indicate your preference (be aware that assignment to morning or afternoon LEAP is at the sole discretion of the director). Read all options carefully.

I can ONLY do morning

I can ONLY do afternoon

I can do either, but I prefer morning

I can do either, but I prefer afternoon

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