Student Support Network Application
for Student Participants

For Student Support Network (SSN) Training

Your information provided here starts the Student Development & Counseling Center (SDCC) training process. We will contact you for an interview and to schedule your training.

Please enter your information and briefly answer the numbered questions.

* indicates required fields.

Name *

Date +

Email

Local Address

Phone (Home)

Phone (Work)

Home Address/Contact

Major

Class/Year

1. Please describe why you want to join the Student Support Network, what you hope to learn or gain.

2. What life experiences have shaped the way you support your friends?

3. List your extracurricular activities (Hobbies, clubs, sports teams, residence hall communities, fraternities/sororities, service organizations) and any leadership positions you've held.

Currently, what country are you physically present in? *

*

By providing the information requested in this form, you are consenting to WPI’s use of the provided information for the purpose for which the form is being used. See Privacy Policy Below.

Student Support Network Applicationfor Student Participants

For Student Support Network (SSN) Training

Student Support Network Application
for Student Participants