AWARE Peer Educators Application

  • To apply for a position as a Peer Educator with the Center for Health and Well-Being, please complete the form below. Note all fields are required unless otherwise noted.




    (if applicable)


    Current Class Standing
    Please list two professional references:

    If the reference is on campus, be sure to include their department along with their name.

    Reference One:


    (if on campus)






    Reference Two:


    (if on campus)









    (List Monday through Friday)


    Contact Information






    Permanent Address







    Current Address