HealthBuffs Peer Education ApplicationThank you for your interest in becoming a HealthBuff Peer 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? Yes NoDo you have a work-study award? Yes NoEducationMajor, Projected Graduation Date, CollegePlease check area(s) of expertise/experience: Event planning Peer education Customer Service Outreach and engagement Presentation and facilitation skills OtherAre you currently working for another CU employer? Yes NoIf 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 CU Boulder student and am planning to be enrolled in a least six credit hours per semester throughout the duration of my employment. Yes NoI verify that I have a current GPA of at least 2.5. Yes NoI am able to participate in required Monday staff meetings, usually 5–6 p.m. during the academic year. Yes NoI am available for the mandatory training in August prior to semester start. Yes NoI am available to work some evenings and weekends. Yes NoI understand that a background check may be required as a condition of employment. Yes NoI understand that I will not receive medical or clinical experience as part of my involvement with HealthBuffs. Yes NoPeer 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? Yes NoPlease 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) Woman Man Non-binary Choose not to answer OtherDo you identify as trans? (optional) Yes No Choose not to answerHow would you describe your racial identity? (choose one or more, optional) American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Asian White Black or African American Other Choose not to answerAre you Hispanic or Latino/a/x? (optional) Yes No Choose not to answerHow did you hear about HealthBuffs? (optional) Saw a flyer around campus Received an email Recommended by a friend Classroom presentation HealthBuffs outreach event Other
