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PEER Program
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PEER Program
Application for The PEER Program
Professional Engagement, Enrichment, & Renewal
Your Information
Full Name
M Number
Department
Email
Your Supervisor's Name
Your Supervisor's Email
Please select a Host
Select a Host..
Tracy Coulson, Student Accessibility and Wellness
Mary Noti, Learning and Academic Affairs
Janet Visalli, Holistic Student Support
Sabrina Fryman, Business Office
Sarah Lam, Center for Corporate and Community Education
Jake Mihevc, Learning and Academic Affairs
Other, ...
See Host Descriptions
If selected "Other", please specify a host:
If selected "Other", enter host's email address:
Please explain how this experience will be of value to you and provide identified learning outcomes.
At the conclusion of this program, would you be willing to share your experience with the greater College community?
Yes
No
Not Sure
Acknowledgement
I acknowledge I had a conversation with the mentor and my supervisor regarding the PEER program prior to submitting this application.
If you experience any issues completing the form, please contact
Anne Nolan
.