UConn Home Health Education
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Sexperts

Become a Sexpert! Apply Here




Name

School/Major

Semester Standing

Local Phone

Local Address

Street:
City: State:
Zip:


Permanent Phone

Permanent Address

Street:
City: State:
Zip:


Best way to contact you:

School Year:
Summer:


Best time to contact you:

School Year:
Summer:


Please tell us about your interests, activities, and/or hobbies:

Why do you want to be a Peer educator?

What are your expectations from this program?

What are your strengths that will help you succeed as a Peer Educator?

What is a weakness that you have that might interfere with your involvement in this program?

Please list at least one reference that we can contact:

Reference Name:
Reference Email or Phone:



   

Sexperts

Division of Student Affairs
One Division. Multiple Services. Students First.