Returning Peer Counseling Application Applications due: Friday April 29 th, 2016 *Return to the box in the Bronco Center*



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Returning Peer Counseling Application Applications due: Friday April 29 th, 2016 *Return to the box in the Bronco Center* Name: Phone: Current Grade Level: Are you available for the summer retreat? (Aug 4-6 @ RBHS & USD) Yes No Are you available for the winter retreat? (Mid January TBD) Yes No (Initials) (Initials) What did you like about this year s peer counseling program? What did you like least about this year s peer counseling program? How did you contribute to this problem and/or how could we change it next year? What specifically did you do above and beyond your normal Bronco duties, which positively contributed to this year s peer counseling program? What do you see as your weakness as a Peer Counselor? How will you change and strive towards improving this area of need? The Poway Unified School District (PUSD) is an equal opportunity employer/program and is committed to an active Nondiscrimination Program. PUSD does not discriminate on the basis of race, color, national origin, sex, sexual orientation, ethnic group identification, ancestry, religion, gender, gender identification, mental or physical disability. For more information, please contact Associate Superintendent, Personnel Support Services, Poway Unified School District, 15250 Avenue of Science, San Diego, CA 92128-3406.

How will next year be different for you as a PC? What will you do to make it different? In 12 words or less, explain why you should return for another year as a PC, without using friendly, outgoing, helpful, caring and dedicated. What other clubs and/or activities are you planning to be involved with next year? ACTIVITY HOURS A WEEK OFFICER? Did you attend all assigned Bronco Duties? Yes No To your best recollection, how many morning meetings did you miss? To your best recollection, how many morning meetings did you arrive late? Do you speak any languages fluently other than English? Yes No Did you keep your Bronco Card up to date? Yes No Would you be interested in being an Office Assistant for Counseling during the school year? Yes No Give the names of three current teachers who you will ask for a recommendation. *Peer Counselor list will be posted afterschool on Friday May 20th* *If I am selected as a peer counselor, I will be required to attend and pay for two mandatory retreats: (Summer Aug 4-6, $140.00) & (Winter Mid January TDB). Fundraising opportunities will be made available to support financial needs. Failure to attend either retreat will disqualify me from the program. (Student s ) (Parent s )

The above student is applying to become a Peer Counselor for next school year. Important to this

The above student is applying to become a Peer Counselor for the next school year. Important to this

The above student is applying to become a Peer Counselor for the next school year. Important to this