Jags Student Support Network Application

您的瀏覽器尚未啟用 JavaScript，因此無法開啟檔案。請於啟用後重新載入頁面。

Apply below to become one of our peer support advocates

Full Name:_______________________ _____________________________ _______ Date:___________
Last First M.I.

Address:_________________________________________________________________
Street Address/ Dorm or Apartment/RM #

______________________________________________________________________________________
City State ZIP Code

Phone:____________________________ Email:______________________________

Major: _____________________________________________ Classification: ______________________
*

Please describe why you are interested in joining the Jags Student Support Network. What do you feel you can contribute? *

List what trainings, courses, or experiences (personal, professional, paid, or volunteer) that has prepared you to be a JSSN peer advocate? *

List any extracurricular activities in which you are currently involved (i.e. hobbies, clubs, sports, teams, fraternities/sororities, organizations). Please note any leadership positions held. *

How do you view mental health concerns such as depression, suicide attempts, and drug and alcohol abuse? (How would you interact with a peer who is suffering from one of these issues?) *

Describe a strength and a limitation you have. Include statements in those areas in which you hope to grow during your peer educator experience and how the experience may benefit you personally and/or professionally. *

Describe some of your interests, platforms, and/or talents. Explain how those talents and interests may benefit JSSN. *

提交

清除表單

請勿利用 Google 表單送出密碼。

Google 並未認可或建立這項內容。檢舉濫用情形 - 服務條款 - 隱私權政策

表單