Application: Yes; I would like to become a member of a GCU Living Learning Community.

* = required field

 * First Name:  
 * Last Name:   
 * Home Address:  
 * City:  
 * State:  
 * Zip Code:  
 Country:  
 * Home Phone:  
 Cell Phone:  

 * GCU Email:

  

 Alternative Email:

  

 * Birth Date:
(mm/dd/yyyy)

  

 (Intended) Major:

  

 GPA (if applicable):

  

 

 

 * Living Learning Community
of Interest:

 * Please select all of the categories that apply to you:

 
T-Shirt Size:		  

OPTIONAL:
Please select the description
that is appropriate for you:

  


 * Why do you wish to be a member of this Living-Learning Community? Please include the contributions you expect to make as a member of the community, any outside interests that have influenced your desire to apply, and/or any programming ideas you may have for this community.

    
 * What do you expect to experience or learn by being part of your chosen community?

    
Is there anything that would prevent you from fully participating in Living-Learning activities?
If yes, please explain.

    


       

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