COMMUNITY SERVICE OPPORTUNITY Cabrillo PEERS Team Peer Educator People Empowering Each other to Realize Success
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1 COMMUNITY SERVICE OPPORTUNITY Cabrillo PEERS Team Peer Educator People Empowering Each other to Realize Success About the program: The Cabrillo College PEERS Team (People Empowering Each other to Realize Success) will provide support and training to active students, club leaders, interns, staff, and faculty with the goal of enhancing wellness and student success. With a focus on peer support, we facilitate collaboration between the individuals of the Cabrillo College community. The Cabrillo College PEERS Team works in collaboration with Student Health Services, the Human Services program and other Student Services to provide peer counseling and education services. This collaboration will link students with support services, promote positive decision-making, and empower the students to make a difference on campus through social and educational initiatives. Examples of Duties: Under the direct supervision of Student Health Services: Provide direct individual peer education and advising services Assist in developing and implementing educational and social programs focused on wellness, alcohol and other drug issues Be well versed in wellness topics, which include: alcohol and other drug use/abuse, nicotine use, healthy relationships (communication, abstinence, verbal/physical abuse, rape), suicide prevention and personal health (body image, eating disorders) Serve as a College role model and advocate for responsible and healthy lifestyle choices Promote and present program services Attend all mandatory trainings and meetings Follow through with other duties assigned by the Program Supervisor Consistently commit at least 6 hours per week including a minimum of 1 hour of supervision Commit to service for at least 2 semesters Qualifications: Must be registered and maintain a minimum of 6 units at Cabrillo College while on the Team Must have completed at least 12 college semester units Must have a cumulative GPA of 3.0 or higher Must be a role model for responsible and healthy lifestyle choices and enthusiastic about educating peers on wellness issues Must possess strong verbal communication skills and desire to present information to peers Must demonstrate the ability to work with individuals and groups in a leadership capacity At least 2 reference forms completed by faculty, counselor, or employment supervisor
2 Return completed application to Student Health Service, Room 912 Cabrillo PEERS Team Member Application People Empowering Each other to Realize Success Name Address Last First Middle Number City State Zip Home Phone Cell Number Date of Birth Address Cabrillo Student ID #: Gender Major: Language Fluency Other Than English Career Goal Emergency Contact: Name Phone Relationship INVOLVEMENT RECORD Name of any organization/activities (on and/or off campus), in which you have been involved (if more than 3, attached a sheet with this info). Dates Position Held REFERENCES Name Title Phone Number Please answer the following essay questions. Limit your response to 2 pages total, use doublespaced, 12-point, Times New Roman font. Attach your responses to this application. 1) Explain what draws you to the PEERS Team. 2) Describe the qualities and skills you possess that would make you an effective PEERS Team member. 3) Describe a difficult situation and how you managed it. 4) Include any additional information that you feel would assist us Continued on next page
3 Check-off the following to indicate that you have completed all requirements of this application: Attached college transcript confirming you have completed 12 units of college work. For Cabrillo transcripts you may go on WebAdvisor and print My Course History. Attached college transcript indicating a cumulative GPA of 3.0. For Cabrillo transcripts you may go on WebAdvisor and print My Course History. Attached print-out of current semester schedule (printed from WebAdvisor). Attached 2 PEERS Team Recommendation Forms Attached answers to the essay questions, maximum 2 pages. Critical Dates for Spring 2017 Applicants: Fri, Feb 10th Fri, February 10th Tues, Feb 14th Fri, Feb 17th Applications due in Student Health Services prior to attending Mental Health First Aid Applicants to attend Mental Health First Aid training from 8:00 am to 5pm in 913 Applicants selected for interview will be notified Interviews will take place between 8:30 a.m. and 1 p.m. in 909M (applicants must be available at these times) Selected PEERS will Participate in the Following Dates: Fridays PEERS Meeting from 12 pm to 1 pm Room 915 Club meets weekly. 1 st Fri of every month is mandatory. Fri, Feb 10th Mental Health First Aid training from 8:00 am to 5pm in 913 Fri, Mar 3rd CPE PEERS Training Day, 8:00 am to 5pm in 913 Fri May 6 th Passport to Wellness Fun 5K and Awards Celebration Signature Date
4 PEERS Team Recommendation Form The PEERS Team (People Empowering Each other to Realize Success) is a program that provides support and training to active student leaders, interns, staff, and faculty with the goal of enhancing wellness and student success. With a focus on peer support, we facilitate collaboration between the individuals of the Cabrillo College community. The Cabrillo College PEERS Team works in collaboration with Student Health Services, the Human Services program and other Student Services to provide peer counseling services. This collaboration will link students with support services, promote positive decision-making, and empower the students to make a difference on campus through social and educational initiatives. The student named below, has applied to be a member of the PEERS Team and, if selected, will be working with students in a peer counseling role as described above. PEERS Team members must: Serve as a college role model and advocate for responsible and healthy lifestyle choices. Have very good communication skills. Demonstrate leadership and a desire to serve Cabrillo College students. Please answer the following questions about the applicant. Additional comments are appreciated (see #5). Student Name: Last First MI Recommended by: Last First Contact Information Relationship to student: How long? Circle the best response. This student: Strongly Disagree Neutral Agree Strongly Disagree Agree 1. Has the capability to be successful on the PEERS Team. 2. Has the personal qualities to interact appropriately in sensitive/stressful situations. 3. Has the communication skills to work collaboratively. 4. Has the dedication and passion to make a 2 semester commitment. 5. Please feel free to add or attach or further comments on the reverse side of this application. Signature Date
5 Please return the completed form to the student. PEERS Team Recommendation Form The PEERS Team (People Empowering Each other to Realize Success) is a program that provides support and training to active student leaders, interns, staff, and faculty with the goal of enhancing wellness and student success. With a focus on peer support, we facilitate collaboration between the individuals of the Cabrillo College community. The Cabrillo College PEERS Team works in collaboration with Student Health Services, the Human Services program and other Student Services to provide peer counseling services. This collaboration will link students with support services, promote positive decision-making, and empower the students to make a difference on campus through social and educational initiatives. The student named below, has applied to be a member of the PEERS Team and, if selected, will be working with students in a peer counseling role as described above. PEERS Team members must: Serve as a college role model and advocate for responsible and healthy lifestyle choices. Have very good communication skills. Demonstrate leadership and a desire to serve Cabrillo College students. Please answer the following questions about the applicant. Additional comments are appreciated (see #5). Student Name: Last First MI Recommended by: Last First Contact Information Relationship to student: How long? Circle the best response. This student: Strongly Disagree Neutral Agree Strongly Disagree Agree 1. Has the capability to be successful on the PEERS Team. 2. Has the personal qualities to interact appropriately in sensitive/stressful situations. 3. Has the communication skills to work collaboratively. 4. Has the dedication and passion to make a 2 semester commitment. 5. Please feel free to add or attach or further comments on the reverse side of this application. Signature Date
6 Please return the completed form to the student. Return this completed application to Student Health Services by the due date indicated above with all required attachments. Incomplete applications and/or missing attachments will be cause to disqualify the applicant. Room 912 is located on the map in the 900 building next cafeteria marked on the Campus map by a Red Heart
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