Campus Links Peer Supporter Application

This application should be filled out by those who are interested in becoming a Campus Links Peer Supporter.

IMPORTANT - A Letter of Recommendation is required to be uploaded at the end of the application. Please make sure you have this available before submitting the application.

* denotes a required field

Peer Supporter Information

First Name *

Last Name *

Date of Birth *

Email *

Phone *

Permanent Address *

Address 2

City *

State/Province *

Zip/Postal *

Do you have a different local address? *

Emergency Contact Information

First Name *

Last Name *

Relationship to Student *

Email *

Phone *

Getting to Know You

What is your major? *

Do you expect to work while being a Peer? *

What are some of your interests? (e.g. hobbies, activities, etc.) *

List activities that you are involved with on campus and your level of involvement: *

Describe your experience working with neurodiverse people (Autism Spectrum Disorder, ADHD, Learning Disabilities, etc.) and/or other disabilities: *

How do you handle stressful situations? *

Are you able to give constructive feedback about difficult situations or behaviors? Please describe. *

Describe a time when you have given constructive feedback to a peer: *

Describe a time when you have had to problem solve: *

Describe a time when you have worked as a team: *

Describe a time when you were a peer mentor: *

How did you hear about the Campus Links Program? *
High School Teacher or Counselor
Friend
GVSU Representative
Internet Source
Not listed Please specify a value for How did you hear about the Campus Links Program?

Release and/or Disclosure Statement

Signature Required *

I authorize Grand Valley State University’s Disability Support Resources to release information regarding my involvement to university employees directly involved with the Campus Links Program.

Letter of Recommendation

One letter of recommendation from a high school teacher or counselor is required. This letter must specify why the mentee is a good candidate for our program including the mentees ability to see the program through and describe the mentees desire to be in the program, and describe the reasons why the mentee is a good candidate for our program.

Letter of Recommendation *
Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, .bmp, .gif, .jpeg, .jpg, .png, .tiff, or .txt with a maximum size of 1 MB (1024 KB)

Human Verification *

Page last modified May 24, 2024

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