University Health Center Peer Program Application
Hello! Thank you for your interest in becoming involved in the UHC Peer Program! This application is for current undergraduates at the University of Maryland who are interested in being a part of a Peer Program during the 2018-2019 school year. Students are required to commit to the Peer Program for both the Fall and Spring semesters.

Descriptions of each peer course can be found here:

If you have any questions about your application, please contact:

Email address *
First Name
Your answer
Last Name
Your answer
Found on your Student ID Card
Your answer
Examples include: He/him, She/her, They/them, Ze/hir, your name, or something else. Why do we ask about pronouns? Visit to learn more!
Your answer
What is your class standing?
Major/Intended Field of Study
Your answer
Current GPA
Your answer
Please list any significant commitments/activities that you will be involved in during the 2018-2019 school year.
Includes sports teams, labs, student groups, leadership positions, jobs, internships, and any other activity that will take up a significant amount of your time.
Your answer
Please tell us why you want to get involved in the Peer Program(s) you're applying to.
1000 Characters Max.
Your answer
How did you hear about the UHC Peer Programs?
Which Peer Program(s) are you applying to? (Check all that apply.)
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of University of Maryland, College Park. Report Abuse - Terms of Service - Additional Terms