Peer Leader Application

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Please Complete by Friday February 15th at 3pm.

Step 1 of 4

25%

• Personal Information

• Name*
  FirstLast
• Phone*
• Email*
• Preferred Email
• College Address*
• Box #*
• Address*
  Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
  Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe

  Country

  For Commuters and Summer Mailings
• Class Year*
  Freshman Sophomore Junior Senior
• Cumulative GPA*
• Major*
• T-Shirt Size*

• Personal Involvement & Achievements

• Please list your involvement in activities on campus and in the community.*
• List any awards you have recieved.*
• Please list all relevant work experiences (including internships, work-study, part-time or summer jobs, etc.)*

• Peer Leader Application Short Answers

• Describe the role of a Peer Leader, as you perceive it.*
• What personal qualifications would you contribute to the success of the Wagner College Peer Leader Program?*
• In your opinion, what are some issues that new students deal with when entering college and how could you help them? *
• What attracted you to Wagner College and what keeps you here?*

• Acknowledgement

• I acknowledge that the information contained in this application is factual and is a realistic assessment of my abilities. Because I recognize that being a Peer Leader carries with it privileges and responsibilities, if chosen, I promise to act as a role model for all students at Wagner College and act in accordance with the Peer Leader job description and follow the policies and procedures set forth in the Wagner College Student Handbook. *
  E-Signature

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