Peer Support Specialist Captain Application

Step 1 of 7

14%

Workshop Acknowledgement(Required)

Please read this section before moving on with the application:

I am aware that Workshops are four-day events (Thursday-Sunday; with students/advisors arriving on Wednesday), however, Workshop Corps Staff are required to be present Monday through Sunday for training and Workshop prep. The Peer Support Specialist Captains (part of the Alumni Support Team) is required to stay on campus during the entire Workshop.

Peer Support Specialist Captains are provided with room and board during the Workshop. Approved travel expenses to and from Workshops are covered by PeerForward.

PeerForward Workshops are often emotionally intense experiences, which are rigorously scheduled, yet highly rewarding. The intensive schedule does not allow for outside work or projects during the Workshop.

All Workshop Corps Staff are expected to honor the potential and abilities of ALL students and understand that these Workshops are designed to foster their success. These Workshops also consist of a diverse group of students, volunteers, and staff members. All parties are responsible for collaborating respectfully and professionally.

Before submitting an application, please review our privacy policy:
PeerForward Privacy Policy

I understand that if chosen for the position, I have to undergo a background check

I agree with the expectations above(Required)

Yes

Professional Development Acknowledgement(Required)

Professional Development Date:

June 10-14, 2025 - Alumni Support Team Professional Development (In Person)

I understand that attendance at all professional development sessions is mandatory. I understand that I will not be able to participate this summer if I do not attend the professional development sessions listed above.

Yes, I understand

Anti-Discrimination Disclosure(Required)

There shall be no discrimination against an otherwise qualified adult by reason of disability, age, race, color, ethnicity, ability, military service, faith, gender, sexual orientation, personal appearance, pregnancy, genetic information, geography, political views, creed, national origin, or socioeconomic status.

In order to continue safeguarding our students in our care, College Summit, Inc. dba PeerForward, will conduct criminal background checks for new and re-registered users who will be serving in volunteer and seasonal contractor positions. PeerForward Advisors registering with a partner school will not need to conduct a background check. An applicant's gender and birth date are required in order to conduct a criminal background check. This information will be used solely for background check purposes and will not influence the applicant selection process beyond a criminal check.

As part of completing your application, you will not be placed with or allowed to serve in any positions until you have been approved for service based upon the results of your background checks. Should you be disqualified as a result of your background check, your ability to log into our system will be disabled.

Do you wish to proceed?

Yes

Your Personal Information

Your Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone Number(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Permanent Address Information (If different from mailing address)

Street Address City State / Province / Region ZIP / Postal Code

Emergency Contact(Required)

Relation to you(Required)

If other, please specify.

Phone Number(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Background Information

Date of Birth (DD/MM/YYYY)(Required)

Race/Ethnicity(Required)

What gender do you identify as?(Required)

If other, please specify.

What are your preferred pronouns?(Required)

If other, please specify.

What is your highest level of completed education?(Required)

Are you the first in your family to go to college?(Required)

Yes

Do you have any dietary restrictions or food allergies?(Required)

Yes

If yes, please describe.

Some events are held on college and university campuses and may require participants to walk up to three miles a day. Participants may also be required to stand for long periods of time. Do you have a physical disability or are there any special accommodations you will need?(Required)

Yes

If yes, please describe.

What is your profession?(Required)

If other, please specify:

What is your current job title?(Required)

Name of the company(Required)

How did you hear about PeerForward?(Required)

If other, please explain.

Do you speak any additional languages?(Required)

Spanish

American Sign Language

Cantonese

Haitian-Creole

Japanese

Korean

Mandarin

Other

If other, please specify:

How did you hear about this application?(Required)

If other, please specify:

Are you an alumni of PeerForward? (You must have participated in an affiliated High School/College or attended a Summer Workshop)(Required)

Yes

Please list the PeerForward affiliate High School, College, or workshop you attended.(Required)

Have you ever worked or volunteered at a PeerForward Summer Workshop?(Required)

Yes

If yes, what roles have you held in the past? (check all that apply)

Operations / Peer Support Specialist or Captain

Operations / PeerForward Team Member or Captain

Alumni Leader or Alumni Leader Coordinator

Volunteer (Writing Coach or College Coach)

Workshop Director or Assistant Director

Other

If other, please enter here:

Which of the following dates (Monday-Sunday) would you be available to work this summer? (check all that apply)(Required)

July 7-13, 2025

July 21-27, 2025

July 28-August 3, 2025

Are you able to participate in more than one Workshop?(Required)

Yes

Please feel free to add any comments about why you are interested in working with PeerForward.

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

CAPTCHA

About PeerForward

Our Team

Peer Support Specialist Captain Application

Your Personal Information

Background Information