Application for Wellness Floor

Last Name:    First Name:    Middle Initial:

Banner ID #:

E-mail Address:

Cumulative GPA:

Please explain, in about 150 words, why you wish to live on the Wellness Floor:

By submitting this form, I am applying to be a resident on the Wellness Floor in Schwartz Hall.  I certify that all application statements are true to the best of my knowledge.  I understand that my application is not complete until all application materials are submitted to the Office of Housing and Residence Life.  In submitting this application, I express my willingness to accept the responsibility and spend the time required of an active resident on the Wellness Floor.