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Dr. Carolyn Hughes
Principal Investigator

Department of
Special Education
P.O. Box 328
Peabody College
Vanderbilt University
Nashville, TN 37203


 

Peer Buddy Overview

Getting Started

Implementing the Peer Buddy Program

Descriptive Articles

Contact Us

 

 

Peer Buddy Student Application

PEER BUDDY INFORMATION FORM

Please complete the following questions:  

Name: _________________   Phone Number: _________________
Grade: _________________ School: _________________
Free Period: _________________ Lunch Period: _________________

Are you available during lunch or after school: ________________________

Guidance Counselor: ________________________

Please list a teacher who can be contacted as a reference

     Teacher's Name: ________________________

     Class they teach: ________________________

The students in the Life Skills classes have varying abilities and special needs. Please indicate which individual you are most interested in working with by number 1 - 4, 1 being the most interested and 4 being the least interested.

                ____  Students who have higher skills

                ____  Students with autism

                ____  Students with physical disabilities

                ____  Students with difficulties communicating

  1. Have you had any experience working with people with disabilities? If yes, please describe.

 

 

  1. What are some of the reasons you are interested in working with people with disabilities?

 

 

  1. Please list any questions, concerns or comments you may have regarding the Peer Tutoring Course.

 

 

 
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