Peer Assistant Application - 2019-2020
PLEASE READ THE SEPARATE INFORMATION PACKET BEFORE COMPLETING
THIS APPLICATION.
Application must be typed
Applicant Information:
Name: _______________________________________________CCC ID #________________________________
Home Phone: ____________________________ Cell Phone (if different): _________________________
CCC Email: ____________________________________________________________________________________
Cumulative GPA: _____________________ Major: ________________________________________________
Indicate: Which of the following positions you are most interested? Place a 1 and 2 in the box
of your first and second choice, etc. Please see detailed descriptions online before deciding.
Note: not all positions may be available at this time.
Advising/Career Services
Counseling Department
Disability Resource Center (DRC)
Financial Aid
Student Life and Leadership
Transportation Systems
Welcome Center/Admissions
Signature: I hereby submit my application and agree that all information is true to the best of my
knowledge.
Signature: _____________________________________________________ Date: __________________
Submit: All materials (Application, typed resume including names and contact information of three
references) by e-mail to peerprogram@clackamas.edu or to Robin Dryden in the Community Center.
Applications must be complete to be considered
click to sign
signature
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Peer Assistant Application - 2019-2020
1. Please explain why you are interested in becoming a Peer Assistant
2. What skills and qualities have you acquired through previous work experience or your
experiences at CCC that you will bring with you to this program?
3. What skills to you hope to improve through working as a Peer Assistant?
4. Please describe your experience in helping fellow students
5. If you could improve the College in one way, what would it be?
6. What do enjoy most about your experiences at CCC?
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