HealthBuffs Peer Education ApplicationThank you for your interest in becoming a HealthBuffÌýPeer Educator. Each question should be answered thoroughly and accurately.You must have JavaScript enabled to use this form.Indicates required field NameStreet AddressApartment/Unit NumberCityStateCU Email AddressAre you an undergraduate student?ÌýYesÌýNoDo you have a work-study award?ÌýYesÌýNoEducationMajor, Projected Graduation Date, CollegePlease check area(s) of expertise/experience:ÌýEvent planningÌýPeer educationÌýCustomer ServiceÌýOutreach and engagementÌýPresentation and facilitation skillsÌýOtherAre you currently working for another CU employer?ÌýYesÌýNoIf yes, please list department name and name of supervisor:What interests you about working with Health Promotion? What do you hope to learn through working with the program?What do you think are the top three factors that impact health and wellness among your peers? Why?What strengths would you bring to the position?I am a degree-seeking ºÚÁÏÉçÇøÍø student and am planning to be enrolled in a least six credit hours per semester throughout the duration of my employment.ÌýYesÌýNoI verify that I have a current GPA of at least 2.5. ÌýYesÌýNoI am able to participate in required Monday staff meetings, usually 5–6 p.m. during the academic year.ÌýYesÌýNoI am available for the mandatory training in August prior to semester start.ÌýYesÌýNoI am available to work some evenings and weekends.ÌýYesÌýNoI understand that a background check may be required as a condition of employment. ÌýYesÌýNoI understand that I will not receive medical or clinical experience as part of my involvement with HealthBuffs.ÌýYesÌýNoPeer educator positions with the HealthBuffs program are limited and highly selective. If you don’t receive an offer for a paid position, would you be interested in a volunteer or intern position?ÌýYesÌýNoPlease attach a resume, including your work history.One file only.2 MB limit.Allowed types: pdf, doc, docx. Please list two professional references, including contact information and their relationship to you.How would you describe your gender identity? (optional)ÌýWomanÌýManÌýNon-binaryÌýChoose not to answerÌýOtherDo you identify as trans? (optional)ÌýYesÌýNoÌýChoose not to answerHow would you describe your racial identity? (choose one or more, optional)ÌýAmerican Indian or Alaska NativeÌýNative Hawaiian or Other Pacific IslanderÌýAsianÌýWhiteÌýBlack or African AmericanÌýOtherÌýChoose not to answerAre you Hispanic or Latino/a/x? (optional)ÌýYesÌýNoÌýChoose not to answerHow did you hear about HealthBuffs? (optional)ÌýSaw a flyer around campusÌýReceived an emailÌýRecommended by a friendÌýClassroom presentationÌýHealthBuffs outreach eventÌýOther
