2024-2025 Peer Program Application

2024-2025 Peer Program Application

Peers as Partners (High School Course): Students will be peer mentors to assist students in transition to middle school and in Core Academic Courses focusing on reading, math, social skills, and organization skills in our Social Behavior Program. You must be willing to work with students you do not know and be confident in your abilities to help other students. You will earn High School Elective Credit.

Royal Squires (Middle School Peer Mentoring): Students help in the Administrative Front Office, Student Services, Media Center, and Classrooms. These students will be role models for others, exemplifying our Knightly Values and can easily follow directions. You must be willing to talk with staff and students you do not know and be familiar with our campus and program offerings. Applicants will be reviewed, and final placement will be selected after review with administration.

Please complete the application below.
Contact Mrs. Doerrfeld (ddoerrfe@pasco.k12.fl.us) or Ms. Martanovic (kmartano@pasco.k12.fl.us) with any questions.

Student Name: Student Name: First Last
Student ID:
Must be 6 digits. Currently Entered: 0 digits.
Current Grade Level:
I am currently a Peer this school year:

I am currently a Peer this school year: Yes No
If you answered yes to the previous question, where are you currently a peer (location/teacher)?
I have earned ZERO discipline referrals this school year.

I have earned ZERO discipline referrals this school year. Yes No
I have earned all As, Bs, and Cs on my report cards this school year.

I have earned all As, Bs, and Cs on my report cards this school year. Yes No
I am interested in the following course for next school year?

I am interested in the following course for next school year? Peers as Partners (High School Course, see description above) Peer Counseling (Middle School Course, see description above)
Why should you be selected for the 2024-2025 Peering Program at RRMS?
IF selected for this program, which placement would be your FIRST choice for next school year? If selected for Peers as Partners, you will be placed in a classroom.

IF selected for this program, which placement would be your FIRST choice for next school year? If selected for Peers as Partners, you will be placed in a classroom. Classroom Front Office Media Center Student Services
IF selected for this program, which placement would be your SECOND choice for next school year? If selected for Peers as Partners, you will be placed in a classroom.

IF selected for this program, which placement would be your SECOND choice for next school year? If selected for Peers as Partners, you will be placed in a classroom. Classroom Front Office Media Center Student Services
If you chose Classroom for your first and/or second choice above, please list at least 2 teachers and/or courses you would be interested in peering.
Any additional information that you would like to share:
Student Signature:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Students will be notified if chosen for the Peer Program on their 2024-2025 schedule in August when school begins. If not chosen, students will be placed in their alternates chosen during registration in the Spring.