Name is a required field!

Major/Minor is a required field!

Year in College is a required field!

Email: is a required field!

Phone: is a required field!

What is your reason for wanting to join the PEAS Certified Program? is a required field!

What are your expections of the program? is a required field!

Please list any other courses, training or work experience (paid or volunteer) that would make you an effective peer eduator. is a required field!

Please list any other skills and/or personal strengths, which would help you, be an effective PEAS. is a required field!

What are your areas of interest? (check all that apply) is a required field!

Please list any other involvement on campus organizations/clubs or activities in which you have been, or plan to be invovled with this year. Please include dates of involvement and leadershipo positions if any. is a required field!

Would you be avilable to meet at the bi-monthly meetings on the 2nd & 4th Thurdays of the month at 12-1 pm? is a required field!

Are you available to assist, plan or market at least 2 HOPE & Wellness events every month? is a required field!

Please indicate your schedule availability for the semester is a required field!

Please check whether you are intersted in "volunteering" or becoming a "Certified Peer Educator" is a required field!

For Cerified Peer Educators: Are you available for the 12 hrs training on Oct. 1st & Oct. 8th from 9 am -4 pm? is a required field!