Application for New LGBTQIA Peer Educators 2018
Thank you for your interest in the LGBTQIA Peer Education Program. LGBTQIA Peer Educators serve as supportive and accessible resources for students with questions or concerns relating to the issues facing lesbian, gay, bisexual, transgender, intersex, asexual, and questioning students. As part of their outreach efforts, LGBTQIA Peer Educators also attempt to inform the larger University community to issues of homophobia, transphobia, heterosexism, and stereotyping of LGBTQIA people.

The expectations for members of the program are outlined below. Peer educators:

➢ Attend a 2 and a half day training session (Friday, April 6 to Sunday, April 8)
➢ Are knowledgeable about common concerns of LGBTQIA students and are able to make referrals to appropriate resources
➢ Are sensitive and willing to listen to the concerns of students dealing with LGBTQIA issues, including those who are straight and cisgender or questioning their sexuality and/or gender identity
➢ Lead a minimum of FIVE panels in residential colleges for first-year RCA groups
➢ Lead a minimum of FOUR discussion sessions during the year, in residential colleges, eating clubs and other groups as requested (curriculum will be provided)
➢ Maintain privacy in dealing with students who have questions or concerns
➢ Are listed online and in the campus directory and are willing to be contacted by and provide support for those with questions or concerns

Those applying to be peer educators must be available to attend 2 and a half days of training from Friday, April 6 to Sunday, April 8 on campus (9am-5pm Friday and Saturday, 9am-1pm on Sunday, with breakfast and lunch provided by the LGBT Center).

Interviews will take place from Mar 5-16th in 30 minute slots. After filling out this application, YOU MUST SIGN UP FOR A 30 MIN INTERVIEW TIME SLOT with the LGBT Center Director or Program Coordinator at the following form:

THE DEADLINE TO APPLY is Monday, March 5 by noon EST.

If you have questions about the program or application process, please contact Center Director Judy Jarvis at or 258-0524.

Name *
Your answer
What pronouns do you use? *
Your answer
Email *
Your answer
Class Year *
Your answer
Residential College *
Your answer
Cell Phone *
Your answer
Why are you interested in becoming an LGBTQIA Peer Educator? *
Your answer
Please indicate your knowledge of LGBTQIA-related issues and your ability to discuss them in a group setting. *
Your answer
Describe your previous experiences with facilitating group discussions and/or peer education in high school and college. *
Your answer
List your 2018-19 extracurricular activities and put an asterisk next to those that you plan to continue next year. List any other activities/initiatives you plan to be involved with next year. *
Your answer
If you are (or have been in the past) affiliated with an eating club and/or athletic team please indicate which ones.
Your answer
Please share your willingness to lead educational/outreach activities with the following groups: *
First-Year RCA Groups
Residential College residents of multiple class years
Student Organizations
Community Youth Groups
Eating Clubs
Administrators and faculty
Please write a brief statement about how you view the campus climate with respect to LGBTQIA students. *
Your answer
Optional Information
What accessibility and/or dietary needs do you have, if any?
Your answer
Your answer
Your answer
Race or Ethnicity
Your answer
Sexual and Romantic Orientation
Your answer
Gender Identity
Your answer
Your answer
By submitting this form, you agree that you have read through the Peer Education application and will be able to meet all of the requirements, including attending training from Friday, April 6 to Sunday, April 8.

YOU MUST SIGN UP FOR A 30 MIN INTERVIEW TIME SLOT with the LGBT Center Director or Program Coordinator at the following form:

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms