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Primary Phone Number
Year in School
Date of Birth
Why are you applying to be a member of Joe's PEERS?
Please list your work experiences, volunteer activities, and campus involvement. List your most recent involvement first and include dates of service and duties performed.
List courses you have taken which deal with issues of wellness (psychology, biology, etc.)
Describe any experiences you have had with public speaking.
What strengths do you think you have that may enhance our program?
What do you expect to gain from the experience of being a Joe's PEERS member?
What does wellness mean to you?
Which areas of wellness are you most interested in?
Nutrition and Fitness
Alcohol & Other Drugs
Prescription Drug Misuse
Personal References: Two (2) faculty/staff (include name, department, phone number, email address) and at least one (1) student (include name, phone number, email address). **First semester freshmen may use high school teachers
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