CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Name First Last UWaterloo Email Address Phone number Type - Type -HomeOfficeCell Phone Ext: Pronouns Program of study Faculty Arts Engineering Environment Health Mathematics Science Year of study 1st year 2nd year 3rd year 4th year Graduate student Are you a co-op student? Yes No During which terms over the next 12 months are you available to volunteer with the program? Fall Winter Spring Please note that you must be on a school term to volunteer with the program. Peer Health Education requires a time commitment of 5 hours per week. Do you agree to this time commitment? Yes No Please indicate which team you are most interested in being a part of. Mental Health Physical Health Sexual Health Substance Use Please indicate an additional team that you are interested in being a part of. Mental Health Physical Health Sexual Health Substance Use Although we cannot guarantee you will be placed in one of your preferred teams, we make every effort to match students with their preferred choices. How did you hear about Peer Health Education? Why would you like to volunteer with the Peer Health Education Program? What does Health Promotion mean to you? Leave this field blank
CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Name First Last UWaterloo Email Address Phone number Type - Type -HomeOfficeCell Phone Ext: Pronouns Program of study Faculty Arts Engineering Environment Health Mathematics Science Year of study 1st year 2nd year 3rd year 4th year Graduate student Are you a co-op student? Yes No During which terms over the next 12 months are you available to volunteer with the program? Fall Winter Spring Please note that you must be on a school term to volunteer with the program. Peer Health Education requires a time commitment of 5 hours per week. Do you agree to this time commitment? Yes No Please indicate which team you are most interested in being a part of. Mental Health Physical Health Sexual Health Substance Use Please indicate an additional team that you are interested in being a part of. Mental Health Physical Health Sexual Health Substance Use Although we cannot guarantee you will be placed in one of your preferred teams, we make every effort to match students with their preferred choices. How did you hear about Peer Health Education? Why would you like to volunteer with the Peer Health Education Program? What does Health Promotion mean to you? Leave this field blank