NeuroDiverse Peer Educator Application

Peer education applications are accepted on a rolling basis. Complete an application to join. We’ll let you know if there are any openings when we receive your application. Otherwise, we will add your name to the waiting list and invite you to interview when openings become available. 

Please complete this application and click the “Submit Form” button to forward it to the Counseling Center and Health Center. If you have any questions, please contact Dr. Chris Truong at

1) Contact Information



2) Demographics










3) Relevant Experiences


4) Questions Specific to NeuroDiverse Peer Educator Position