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Health Promotion- POWER Application

An application is below. If you have any questions:

Visit the Office of Health Promotion located on the first floor of the Health Services Building.
Ask one of the current peer educators about how to get involved!
Check out the rest of our website.
Email Kim Hill, the POWER advisor: kimberly.hill@villanova.edu
Contact the Office of Health Promotion by phone: 610-519-7407

The Application

Please print the recommendation form and have a faculty, staff, or other campus leader complete this form following the directions. They should place the completed recommendation in an envelope and write their name across the sealed back for confidentiality. They can either send directly or via you to Kim Hill in the Office of Health Promotion on the first floor of the Health Services Building.

Thank you and we look forward to meeting you!

First Name:

Last Name:

Banner ID:

00000000 for non-Villanova

Email:

Permanent Street Address 1:

Permanent Street Address 2:

City:

State:

ZIP Code:

Major:

Cumulative G.P.A.:

I am applying to be trained on:

Alcohol and Other Drugs Sexual Assult

Sexual Health Nutrition

What other non-academic commitments do you anticipate having, in addition to POWER (e.g. work study, Blue Key, sorority/fraternity, athletics, etc.)? How much time do you give to these other commitments on average per week?

Please describe any experiences you have had in high school or at Villanova in peer education:

What has your experience been with alcohol and other drugs/sexual assault/sexual health/nutrition at Villanova? How has this motivated you to get involved with POWER?

Using your knowledge, training and experience as a POWER peer educator, how would you help change the culture around alcohol and other drugs/sexual assault/sexual health/nutrition at Villanova?

Given that Villanova is a Catholic, Augustinian university, how do you anticipate this will affect your role as a peer educator in talking about alcohol and other drugs/sexual assault/sexual health/nutrition?

Any other comments that you would like to share with us at this time?

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