APPLICATION TO BECOME A POW! or Opt4 VOLUNTEER

IMPORTANT NOTE: If you are completing this process online, it is imperative that you first read the four webpages provided on this site entitled Expectations, Responsibilities, Application Information, and Training Information. These pages outline the application process, important dates and deadlines, required training, and other expectations of applicants.

Please complete and submit this application (you must click on the submit button at the bottom and receive a response email which you may print for your records) or submit a hard copy application to the Wellspring Office at 231 South College Avenue -- in order to complete the application process. Please answer the information requested here thoroughly and submit the application promptly. We thank you for your interest in Pow!/Opt 4 and we look forward to talking with you.

Name:

Year In School:

Major:

If you are a senior, will you be attending the UD for an extra semester?

Yes No Not a senior

Current/Campus Address:

Phone:

E-Mail Address:

Age:

Sex: Male Female

Please list any other groups or clubs you are involved with.

Are you an R.A.?

Yes No

1. Please list and describe any relevant courses, training, work experiences, programming experience, or related interests which you think would contribute to your involvement as a Wellspring Pow! or Opt4 Peer Educator.

2. What are the major reasons you are interested in becoming a health peer educator? What are your personal goals for volunteering with this group?

3. Other than what is listed in question #1 above, what unique qualifications do you think that you as an individual could bring to the position of peer educator? Please be specific.

4. Being a peer educator involves an on-going time and energy commitment (training, continuing in-service training, meetings, programming, etc.). How does this expectation fit in with your priorities and time commitments in the foreseeable future?

5. What do you think are currently the most pressing student concerns on campus relating to health/wellness issues? What needs for information, resources, etc. about health and wellness do you think are most lacking and what do students have the most misinformation about?

6. If you were selected to be a Wellspring Peer Educator, what wellness issues do you think would most interest you, and/or which would you be most comfortable talking about to your peers? Check all that apply.

7. As best as possible, please describe the dynamics that you think play a part in causing an individual to develop disordered eating patterns.

8. Are you satisfied with your current state of health regarding your relationship to food? Please explain.

9. Please describe the most common "risky" drinking behaviors for college students.

10. Please list 3 tips for responsible drinking behavior.

11. What are the biggest obstacles that get in the way of college students practicing safer sex?

12. What can students do to make communication with their partner about sex easier?

13. Please list the name, phone number and/or email address of two character references.

14. In case we would like to have a second interview, what are the best times during the week to meet with you for a thirty minute, informal, in-person interview?

Days & Times:

15. Do you know any of the current Wellspring Pow! peer educators, V8-Opt 4 members, S.O.S. volunteers, or any person who has been a Wellspring volunteer, intern, or employee in the past? If so, whom? What is your relationship to this (these) individuals?

Again, thank you for your interest, time and consideration. We will be in touch!

YOU MUST CLICK THE SUBMIT BUTTON TO COMPLETE THE APPLICATION PROCESS!