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* 1. Name

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* 2. email

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* 3. phone

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* 4. Year in school for the 2021-2022 year.

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* 5. Are you eligible to work in the United States?

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* 6. What skills do you have that may set you apart from other applicants?

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* 7. Why do you want to be a RESPECT peer educator?

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* 8. By typing my name in this box, I am indicating that I am a student enrolling for the 21-22 academic year at the University of Arkansas and it is my understanding that if selected for the RESPECT Peer Education Program, that I will attend required training on August 18, 19, and 20 of 2021. Also, I understand that this is an internship for the fall and spring semesters of the 2021-2022 academic year.

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