Sign Language House, Residential Life

General contact: 45 Wyllys Avenue, Middletown, CT 06459, (860) 685-2000 • Office of Admission: 70 Wyllys Avenue, (860) 685-3000

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Area:	Sign Language House
Last Name:
First Name:
WesID:
Class Year:
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?:	YesNo
I understand that as a resident of the Program House I am required to participate in house events and Program House recruitment.:	YesNo
If you could be any ASL sign, what would you be and why? (Or, if you don’t know any signs which would you most like to learn and why?):
What background do you have with American Sign Language, disability studies, or disability rights work? Please include any relevant classes you have taken, organizations you belong to, or events you have helped organize or participated in.:
What Sign Language House programs have you attended, and which was your favorite?:
Describe a program you would be interested in having Sign Language House hold that would expose the Wesleyan community to ASL, Deaf culture, and/or disability studies.:
What do you hope to personally gain from living in Sign Language House?:
Are you interested in the House Manager Position?:	YesNo
If so, why?:
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Sign Language House Application

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