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Gateway Program Seminar Peer Leadership Program (PLP) 2017 Application JTA Program is now a Certified International Peer Mentor Program through the College Reading & Learning Association (CRLA)!

Name: Student ID #: Current GPA: Number of Credits you are taking Fall 2017: If you are taking more than 18 credits (including the required GPS 4090), you are not eligible to apply. Cell #: UCCS E-mail Address: Academic Status as of Fall 2017: Have you ever taken a Gateway Program Seminar? If you have taken a Gateway Program Seminar, which one did you take, when, and with which instructor? GPS Course: Year: Instructor: Have you applied to be a Resident Assistant (RA)? If yes, RAs are not eligible to be JTAs.

What clubs and/or activities are you involved in on or off campus? Please also include any offices you hold or will be holding in the Fall 2017. We want to make sure you are not over-extending yourself. Being a peer leader requires a significant portion of your time in the fall.

In which Gateway Program Seminar are you interested in being a JTA? Please list at least three. You may not be able to participate in your first choice due to scheduling changes, etc.

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In 300 words OR MORE, please describe the reasons why you wish to participate in the GPS Peer Leader Program. You may also attach a separate sheet if necessary.

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Please submit two or more references from a UCCS faculty or staff member, or current supervisor. Supervisor can be on or off campus.

References must include the following:  In what capacity does the individual know you.  How long they have known you.  What skills you have that make you a good candidate for the GPS Peer Leader Program.  Any additional information that would be helpful in helping us get to know you.

Please schedule an interview with Carrie Arnold ([email protected]) or Carol Pina ([email protected]) upon submission of your application. This is a required part of the process.