Peer Lead Application Form

Peer Leader Application Form

Please fill out this form to the best of your ability. If a question does not apply to you, please type "n/a" *Exception, if you don't have an email address type n/a@gmail.com
Date
Please fill out the name you would like to submit your application under :

First NameLast Name
Pronouns (e.g. she, they, zir, him):
Phone Number:

Area CodePhone Number
Email Address:
1.a Please check all the items where you have relevant skills and / or experience. Note: Experience can be lived experience, work experience, or volunteer experience.
1.b Please share additional information about your experience in the areas you selected above. Please use bullet points (e.g. Harm Reduction: worked at safer inhalation site, led kit-making sessions for 5 years, etc.)
1.c Have you done outreach before ? If so rate your abilities from 1-5 and let me know why . Please include facts such as: Can you walk for 2 hours with a 30 lbs bag? Are you fine with walking up to community members and discussing harm reduction kits and tips ? etc.
2. How would you describe your relationship to substance/drug use and communities of people who use drugs?
3. What does harm reduction mean to you?
4. What do you think is the most important thing to consider when supporting people who use drugs?
5. What are some of the challenges faced by people who use crystal meth? What would you do to better meet the needs of community members who use crystal?
6. What challenges do people who use drugs in Toronto's Downtown East face? What would you do to better meet their needs?
7. What draws you to this work?
8. How would you rate your professional communication skills from 1-5? Please provide 3 examples to explain your rating.
9) Brag a little! Tell us about some of your strengths or what uniquely qualifies you for this position with The 519.
10. We plan on holding a series of Peer Leader Trainings. What are some areas you hope to receive further training in?
Signature
The personal information on this form is collected under the authority of the City of Toronto Act, S.O. 2006, Chapter 11, Schedule A, s. 136 (b) & (c) . Personal information is used for the delivery of The 519’s programs and services. Specifically, it will be used for the purpose(s) of: Determining Eligibility . The 519 will not trade personal information with other organizations. Questions about this collection can be directed to the Privacy Officer at The 519, 519 Church Street, Toronto, ON, M4Y 2C9 by e-mail at Privacy@The519.org or by phone at 416-392-6874.
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Peer Leader Application Form