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.

Academics

GPA

Major

Minor (if applicable)

Anticipated Graduation Year

Current Class Standing

Freshman
Sophomore
Junior
Senior

Please list two professional references:

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

Reference One:

Name

Department (if on campus)

Phone Number

E-mail Address

Street Address

City

State

Zip Code

Reference Two:

Name

Department (if on campus)

Phone Number

E-mail Address

Street Address

City

State

Zip Code

Briefly explain why you would be a good candidate for this position:

Please identify any skills and strengths that would assist you in your position,
and any weaknesses that this position may help you overcome:

Please list your previous work experience:

Class Schedule (List Monday through Friday)

Please list the days and times when you would be available for an interview

Contact Information

First Name

Last Name

IUP E-mail Address

Banner ID

Cell Phone Number

Permanent Address

Address Line 1

Address Line 2 (Optional)

City

State

Zip Code/Postal Code

Permanent Phone Number

Current Address

Address Line 1

Address Line 2 (Optional)

City

State

Zip Code/Postal Code

Current Phone Number

Health and Wellness Promotion
Suites on Maple East
Suite G-59
901 Maple Street
Indiana, PA 15705
Phone: 724-357-4799
Fax: 724-357-4457
health-wellness@iup.edu

The HWP Office is currently closed for the summer.
Office will re-open on August 10, 2020.
In case of an emergency, please contact the Indiana County Crisis Hotline at 1-877-333-2470, University Police at 724-357-2141, or go to the Indiana Regional Medical Center.