SAPEC Peer Education Application First Name * Last Name * Middle Initial Email Address * Phone Number * KU ID# Date of Birth Year Year1949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Gender Classification * Freshman Sophomore Junior Senior Expected Graduation Date * 1. Why are you interested in becoming a SAPEC peer educator? 2. Why is peer education particularly effective? What, if any, past experience have you had with peer education? 3. What do you think are the most important qualities and skills that a peer educator should possess? 4. Please list and describe any relevant courses, training, volunteer and/or work experience. 5. What do you hope to gain from your experiences as a peer educator? 6. Please list any campus/community organizations in which you are involved. 7. Being a peer educator involves some time commitments. Are you able to commit to the following: a. Approximately 24 hours of training over the first year b. between 2-4 hours/week conducting peer education programs 8. How did you hear about the peer educator program? 9. In your opinion, what is the importance of sexual violence prevention education?