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Name:
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Class Level:
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GPA:
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Current Address:
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Email Address:
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Are you currently a member of a Calvin athletic team (varsity or club)? |
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If selected into this community who would you like to live with? Roommate preferences can only be guaranteed if mutually selected. |
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| Have you ever been disciplined by a member of the Student Life Division (RD or Dean)? yes no | |
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If yes please explain |
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How do you plan to participate as a community leader? (i.e. small group leader, team Bible study leader, mentor, etc...)
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Why are you interested in living in Alliance? |
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What are some strengths you believe you could contribute in this community? |
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Please list three faculty or staff members who could speak on your behalf. Please include their email address and telephone extensions. 1.
2.
3.
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Will you be living in Alliance: For the full school year For 1st semester only For 2nd semster only |
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