Peer Mentor Application Form
A Peer Mentor is a part time position that is a peer support to the WellStrong community. Studio Mentors are to operate the front desk and offer support to the members. As the Studio Mentor, you will also be responsible for creating a positive environment, assisting members, and operating the studio during open hours. The Studio Mentor will report to the Studio Manager. *MUST IDENTIFY WITH BEING IN RECOVERY FROM SUBSTANCE USE DISORDER*
Date
*
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Month
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Day
Year
Date
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Days of Availability
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other
Hours of Availability
*
7am-11am
12-4pm
4-7pm
Other
Skills
Computer Skills
Social Media
Fitness Training
Fundraising
Event Planning
IT
Other
Are you in recovery from substance use disorder?
*
Yes
No
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