Peer Educator Meeting Application
Number of study hours per week:
In addition to class, what other obligations do you have?
Which of the following have negatively impacted your academic performance? Or areas in which you would like to improve? Please
My approach from high school no longer applies
Test taking skills/strategies
Over/under registered for courses
Conflict with professor/classmates
Difficulty with course content/underprepared
Course content/style not engaging or challenging
Inability to get motivated
Overwhelmed, stressed, anxious or tense
Alcohol or Substance issues
Difficulty prioritizing/managing time
Learning difference - possible or diagnosed
Distracted/overuse of technology
Overinvolved in activities (including work)
College transition has been difficult
Difficulty making friends/finding social activities
Personal relationship challenges
Have you been in contact with a Peer Educator?
If yes, provide the name.
Would you prefer to meet with a Peer Educator with a similar major to your own?
Yes, if possible
No, thank you
Is there anything else you would like us to know?
Indicates Response Required