STEP Educator Application - Page 1 of 3
Students Teaching and Empowering Peers (STEP)
Interpersonal Violence Prevention Program
Peer Educator Application
Contact Information
Name
Student ID
Class
Graduation Year
Campus Address
E-Mail Address
Cell Phone Number
Academic Interest/Major
Cumulative GPA
Extracurricular Involvement throughout College
Please list any extracurricular activities you have been involved in during college (e.g., student groups,
ensembles, athletics, etc.). Also include any jobs or internships you currently hold or have previously
held.
Expected Commitments for 2012-2013
Please list any extracurricular activities you anticipate being involved in during the 2012-2013 academic
year. Also include any jobs or internships you plan to hold.
STEP Educator Application - Page 2 of 3
Essay Questions
Please respond to each of the following questions. Feel free to expand the length of the box if you
need additional space.
Why do you want to be a STEP educator?
What qualities will you bring to the position? Provide an example of how you have demonstrated these
qualities in the past (e.g., through involvement in other activities, organizations, classes, etc.).
Describe any experiences you have that are relevant to this position (e.g., experience giving
presentations or facilitating groups, trainings you’ve attended about interpersonal violence, etc.).
STEP Educator Application - Page 3 of 3
Please include any additional information you would like us to know in the space below.
References
Please submit one recommendation using the attached form. The recommendation should be from a
Hope community member such as a faculty or staff member, coach, RD, advisor, or employer. If
desired, you may submit more than one recommendation. Recommendations should NOT be from
other students or family members.
Please list the contact information for the person completing your recommendation form below.
Name
Position/Title
Place of Employment
Relationship to Applicant
Work Phone
E-Mail Address
Agreement and Signature
I certify that I have read and understand the job description of the position for which I am applying. I
also certify that the information given in this application is correct and honest and that I will inform
Student Development if there are any changes. In addition, I understand that my signature on this
application grants Student Development permission to verify my GPA and judicial record and to ensure
that I have not been cited for any violations of the Sexual Harassment and Assault Policy.
Name (printed/typed)
Signature (electronic ok)
Date
Next Steps
Please submit this application electronically to step@hope.edu or drop it off in the Student
Development office in DeWitt (care of Dee Campanella, Sexual Harassment & Interpersonal Violence
Prevention Educator). Applications are due by 5pm on Friday, October 5, 2012.
We will be in contact soon to inform you of your status in our selection process. Thank you so much
for completing this application and for your interest in serving as a STEP educator!