UR Well Peer Educators Interest Form

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UR Well Peer Educators serve an important role at University of Richmond to engage their fellow Spiders in promoting healthy behaviors through outreach and educational programs. UR Well Peer Educators are trained in facilitation skills, active listening, and health promotion content areas such as: violence prevention (ex: bystander intervention, consent, healthy relationships, etc), sexual health, alcohol, tobacco, and other drugs (ATOD), mental health, cultural sensitivity, and more.

Please fill out this form if you are interested in joining the program this fall and would like to be on our email list.

First and Last Name *

Pronouns *

Email Address *

Student ID *

Do you consent for a background check with University administration? *

Yes

Please briefly discuss why you would like to become a peer educator. *

What experience (if any) do you have with peer education? *

What topic area(s) are you interested in? Check all that apply. *

Mental Health

Physical Health

Sexual Health

Violence Prevention (EX: Healthy Relationships, Consent, Sexual Assault Prevention, etc)

Recovery Training

Other:

Required

Please check the trainings you have already completed *

CPE (NASPA Certified Peer Educator)

WELL 101 Violence Prevention Educator Course

S4S (Spiders 4 Spiders) Shadowing

MHFA (Mental Health First Aid)

Recovery Ally

Safe Zone/Affirming Spaces

I have not completed any of the trainings above.

Required

Any questions or comments?

Submit

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