Peer Adviser Application

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Thomas J. Watson School of Engineering & Applied Science
Watson Advising Office
2012 Peer Advisor Application
Please print and submit to Sharon Santobuono at LSG 552
Part I: Personal Information
Last Name
First Name
B#
Permanent Address
City
State
Zip Code
Campus Phone
Permanent Phone
Cell Phone
E-mail Address
Birthday
Part II: School Information
Major(s)
Current Year (circle one)
Fr
Total Number of Credits Completed (including transfer work)
So
Jr
GPA
Transfer Student (circle one) Yes No If yes, last attended school
Part III: Questions
Please answer the following questions (feel free to attach additional sheets):
1. Why are you interested in becoming a Peer Advisor?
2. What computer programs are you familiar with (Excel, Outlook, Word, Photoshop,
Dreamweaver, etc)?
3. What relative experience do you have?
Part IV: References
Please include three references with phone numbers & e-mail addresses
Name
1)
2)
3)
Department
Phone Number
E-mail
Sr
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