EmailMe Form - DEEP Squad Interest Form

Name *

First Last

Preferred First Name

Preferred Pronoun

Campus Box *

Phone *

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Elon University Email Address *

Academic Standing in Fall 2015 *

Major(s)/Minor(s)

T-Shirt Size *

List any relevant current extracurricular activities, employment, or commitments. *

Are you available for weekly meetings during the Fall semester on Monday at 5pm? *

If you cannot meet Mondays at 5pm, please indicate your available times:

What does Diversity mean to you? Why do you think it is important to discuss this concept at students at Elon? *

Please describe any ideas you may have for future programs and workshops. *

Is there anything else you would like to share about yourself? *

Are you available for a mandatory retreat training on Friday, September 18, 2015 (5PM-8PM) AND Saturday, September 19, 2015 (9AM-5PM)?

Why are you interested in DEEP Squad Peer Educator and what skills and experiences can you contribute to this role?

List some topics you feel are important to discuss at Elon related to diversity and social justice.

Please describe what skills and experiences you have facilitating or leading group discussions, or diversity education programming.

Please check all the times that you are available to come in for an interview on Wednesday, September 9, 2015.

Please check all the times that you are available to come in for an interview on Friday, September 11, 2015.

I have read and understand the expectations of the DEEP Squad position.

Electronic Signature *