PeerForward Advisor Application Step 1 of 4 25% The PeerForward Advisor role is reserved for educators at PeerForward Partner Schools. If you would like to volunteer with PeerForward, please submit a Writing Coach or College Coach Application.Workshop Acknowledgement(Required)Please read this section before moving on with the application: I am aware that the Summer Workshop is a hybrid virtual and in-person event where PeerForward Advisors are requested to attend the in-person session with their Peer Leaders. PeerForward Workshops are often emotionally intense experiences, which are rigorously scheduled, yet highly rewarding. The intensive schedule may impede outside work or projects during the Workshop. PeerForward Advisors are expected to honor the potential and abilities of ALL students and understand that these Workshops are designed to foster their success. Before submitting an application, please review our privacy policy: PeerForward Privacy Policy I agree to the rules. Transcript, Photo, and Review Portfolio Release(Required)I understand that school transcripts are used by PeerForward for student counseling sessions and for statistical analysis. I understand that PeerForward strictly protects the confidentiality of student transcripts. I hereby authorize the release to PeerForward of my school transcripts. I also consent to the use of my name, likeness, essay, and speech, whether written or spoken, in any audiotape, videotape, film, book, or photograph made at the Workshop, Training Camp, or any PeerForward program or event for any informational, instructional, and/or fundraising purposes of PeerForward, including the use of such media via dissemination through PeerForward’s websites and social media platforms. I also give PeerForward permission to video record sessions in order to ensure the safety of all participants, quality of interaction and evaluate coaching techniques. The video file(s) will be treated with confidentiality and will only be accessed by PeerForward staff. I also give PeerForward permission to provide my contact information and other personally identifiable information to colleges, universities, and other educational institutions with which PeerForward partners toward its mission, in order to help such colleges, universities, and other educational institutions identify and contact students with information about educational opportunities. I also permit PeerForward to use any and all previously-released or -provided personal information regarding myself, and/or to provide such information to the National Student Clearinghouse or an affiliated or similar service, in connection with PeerForward’s postsecondary status tracking efforts. I have read the above release and agree to the conditions. Background InformationYour Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Email(Required) Enter Email Confirm Email What gender do you identify as?(Required)MaleFemaleNon-binaryOtherIf other, please specify.(Required)What are your preferred pronouns?(Required)She/Her/HersHe/Him/HisThey/Them/TheirsOtherIf other, please specify.(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone Number(Required)Race/Ethnicity(Required)AsianBlack and/or African AmericanAmerican Indian/Alaska NativeHispanic/LatinxWhiteHawaiian Native/Pacific IslanderTwo or more racesWhat is your highest level of education?(Required) High School/GED Some College Associate's Degree Undergraduate Degree Graduate Degree Post-Graduate Degree Other If other, please specify.(Required)Are you a PeerForward/College Summit Alumni (You must have participated in an affiliated High School or attended a workshop)?(Required) Yes No SchoolSchool State(Required)BermudaCACODCFLHIKYMAMDMINYPATXVAHigh School(Required)Academy of Health SciencesBelmont Preparatory High SchoolBladensburg High SchoolBowie High SchoolBrighton High SchoolBrooklyn Preparatory High SchoolBuckhorn SchoolCarver Vocational Technical High SchoolCass Technical High SchoolCastlemont High SchoolCedarBridge AcademyCentral High SchoolCentral High School - DetroitChannel View School for ResearchCharles Herbert Flowers High SchoolChesapeake Math & IT Academy Public Charter SchoolCity Polytechnic High School of Engineering, Architecture, and TechnologyCobble Hill School of American StudiesContreras Learning Center-Academic Leadership CommunityContreras Learning Center-LA School of Global StudiesContreras Learning Center-School of Social JusticeCordia High SchoolCrossland High SchoolDearborn STEM AcademyDenby High SchoolDetroit Edison Public School Academy – Early College of ExcellenceDreamhouse Ewa Beach Charter SchoolDr. Albert D. Holland High School of TechnologyDr. L.G. Pinkston Sr High SchoolDr. Henry Wise High SchoolDuval High SchoolEagle Academy - HarlemEagle Academy - BrooklynEagle Academy - BronxEagle Academy - NewarkEagle Academy - QueensEagle Academy - Staten IslandEastern High SchoolEleanor Roosevelt HighEl Puente Academy for Peace and JusticeEnvision AcademyEverett High SchoolFairmont Heights High SchoolFlushing High SchoolFrederick Douglass Academy IIIFrederick Douglass High SchoolFremont High SchoolFriends & FamilyFriendly High SchoolFlushing High SchoolGeorge Washington High School - PAGlobal Learning CollaborativeGwynn Park High SchoolHonoka'a High SchoolHope of Detroit AcademyKahuku High and Intermediate SchoolKailua High SchoolKaimuki High SchoolKa'u High & Pahala ElementaryKa'u Pao High SchoolHarlan Independent High SchoolHazard Community and Technical SchoolHigh Point HighHigh School for Law and Public ServiceHope of Detroit AcademyInternational High School at Langley ParkInternational High School at LargoJalen Rose Leadership AcademyJames Campbell High SchoolJensen Beach High SchoolLake Wales High SchoolLargo High SchoolLaurel High SchoolLegacy Leadership High SchoolLeilehua High SchoolLetcher County Central High SchoolLincoln-King High SchoolLodestar Public SchoolMadison Park AcademyMartin County High SchoolMumford High SchoolNon-Traditional Program North (Tall Oaks)Non-Traditional Program South (Croom)Northwestern High SchoolOakland Technical High SchoolOverland High SchoolOxon Hill High SchoolParkdale High SchoolPerforming Arts Community SchoolPotomac High SchoolPublic Service Community SchoolRangeview High SchoolSci Tech High SchoolSexton High SchoolSeagoville High SchoolSkyline High SchoolSouth Fork High SchoolSuitland High SchoolSurrattsville High SchoolThe Berkeley InstituteThe School at MarygroveThurgood Marshall Academy for Learning and Social ChangeTransit Tech Career and Technical Education High SchoolUniversity Preparatory Academy High SchoolUniversity Prep Art & Design High SchoolWai'anae High School Are you the full-time PeerForward Advisor or are you attending the Workshop in place of the full-time PeerForward Advisor?(Required) Yes, I am a full-time PeerForward Advisor. No, I am attending the Workshop in place of the full-time PeerForward Advisor. Are you comfortable supporting all students at a Workshop through student supervision and participation in a variety of sessions?(Required) Yes No Have you previously been a PeerForward Advisor (formerly known as a Chaperone) ?(Required) Yes No Please list the full names of the Senior Peer Leaders that you have chosen to attend the Workshop:(Required)
