Student Health Advocacy and Peer Education (S.H.A.P.E.) Application
Full Name
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First Name
Last Name
Student ID Number
Major
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Year/Classification
*
E-mail
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Phone Number
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Area Code
Phone Number
Campus Involvement
*
Employment or Volunteer Experience
*
Please answer the following questions.
1. Why do you want to be a member of S.H.A.P.E.?
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2. What qualities would you bring that would benefit S.H.A.P.E.?
*
Submit
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