Student Support Network Application

Name
First Last
Date
Date Format: MM slash DD slash YYYY
Email
Local Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (Cell)
Other Phone
Home Address/Contact
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Major
Class/Year
Short Answer Questions
1. Please describe why you are interested in joining the Student Support Network. What do you feel you can contribute?
2. What training, course work or experience (personal, professional, paid or volunteer) has prepared you to be an SSN member?
3. List any extracurricular activities in which you are currently involved (i.e. hobbies, clubs, sports teams, residence hall communities, fraternities/sororities, service organizations). Please note any leadership positions held.
4. In your view what are some of the reactions and thoughts you have in regards to mental health concerns such as depression, suicide attempts and drug and alcohol abuse (How would you interact with a peer who you feel may be suffering from one of these issues?)
5. Describe some of your strengths and limitations. Include some statements of those areas in which you hope to grow during your peer educator experience and how the experience may benefit you personally and/or professionally.
Questions?
Please Contact: Houghton College Counseling Center Counselingservices@houghton.edu (X-6220)

Short Answer Questions