Community Service House Application

Area:	Community Service
Last Name:
First Name:
WesID:
Class:
Phone or Cell:
E-Mail:
Gender Identity:
Major:
I understand that by applying to live in this program house I may be placed in a double room. If I need a particular housing accommodation I will contact Stacey Phelps (sphelps@wesleyan.edu) prior to March 2nd, 2012:
Do you smoke? (Please read the Residential Smoking Policy):	YesNo
Would you live with a smoker?:	YesNo
Are you thinking about going abroad in the Spring?:	YesNoMaybe
If given a roommate, what gender identity must your roommate have?:	MaleFemaleDoesn't Matter
If so, do you have a roommate in mind?:
Would you be wiling to attend at least one program a semester at another Program house?:
I understand that as a resident of the Program House I am required to participate in house events and Program House recruitment.:
What does community service mean to you?:
What role do you think Community Service House should have on campus?:
What service programs have you been involved in at Wesleyan? Outside of Wesleyan?:
You are given $45 and the task of organizing a community service program that involves a freshman dorm. What would you do?:
What are your other interests? What could you contribute to the house?:
Are you interested in the House Manager Position?:	YesNo
If so, why?:
Thanks for filling out this application