The Movement Peer Educators Interest Form

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The Movement Peer Educators are trained interpersonal violence prevention educators at the NC State Women's Center. The Movement Seeks to end interpersonal violence at NCSU through peer education, advocacy, and collaborative action in order to ensure a safe and equitable campus community. We have weekly membership meetings on Tuesdays from 5-6pm. By filling out this form, you are expressing interest in joining the organization and participating in our work across the NCSU campus.

Email *

Name *

Pronouns

Email *

Phone Number *

Expected Graduation Year/Semester? *

Current Major(s)/Minor(s) *

Are you available for our weekly meetings (Tuesdays, 5-6pm in the Women's Center in Talley)? *

Yes

Maybe

How did you hear about us? *

Women's Center website

Workshop attendance

Tabling Event

Women's Center newsletter

Peer/classmate

Staff/faculty member

Social media

Another campus community center (GLBT, AACC, MSA)

Counseling Center

Email or signage promotion

Other:

Required

Why are you interested in joining?
*

What previous training or education have you received related to interpersonal violence? (It's okay if the answer is none, we are all here to learn!) *

Any particular questions or concerns you would like addressed?

Submit

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