Peer Coach Application

    Today's date
    Today's date
    Gender Identity (check all that apply)
    Gender Identity (check all that apply)
    Ethnicity Identity (check all that apply)
    Ethnicity Identity (check all that apply)
    Living Arrangements
    Living Arrangements
    Have either of your parents/guardians completed a Bachelor's degree program?
    Have either of your parents/guardians completed a Bachelor's degree program?
    I agree that I want to have a peer coach assigned to me and I will approach this relationship with an open mind and willingness to learn new things. I agree that I will respond to communications from my peer coach. I understand that I will be required to visit with my peer coach in person 3 times a semester. I agree to attended one group event a month with my peer coach. I understand that my peer coach is here to guide and support me and will respect the time that they put into the coaching relationship.