Apply to be a Peer Partner Please fill out the application below or print it and bring to Dee Katovitch in 301 Huntington Hall. Contact email@example.com with any questions. P2P - Application Personal InformationName* First Last Local Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberIndicate if cell #*YesNoEmail Address What is the best method to contact you?*Phone - Call OnlyPhone - Calls and TextsPhone - Texts OnlyEmailI am (please choose one)*MatriculatedNon-Matriculated (InclusiveU or auditing)For InclusiveU students, if you have campus mentors, please list their information here. Click on the + sign to add more names.NamePhoneEmail Majoring in:*Are you doing a field experience for class credit (SPE 311)?* Yes No Other (please explain in bottom section) Have you ever been convicted of a crime?*YesNoIf yes, please explain below:Program InformationTell us about your program of study, courses you are taking, and why you are interested in joining P2P.*Tell us about your interests (you can include clubs/activities you participate in on and off campus)*I am applying to become a/an: 1 to 1 Peer Partner Event Partner 1 to 1 Peer Partners are strongly encouraged to meet weekly for at least 2 hours. 1 to 1 Peer Partners are also encouraged to attend events as their schedules permit. Please attach a photograph that will be shared with future partners.