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Information Request Form

Please complete the form below for more information on our Peer Education program and how you can enroll to become a CRR peer educator. You may also contact our Co-Directors, Ann or Casey if you have further questions.

Required Info

Name*

Email Address*

Class/Year*

Major*

*required field/entry

Additional Info

Previous Human Relations experience:

Please describe your interest in the CRR Peer Education Program:

How did you learn about us?

Additional questions / comments: