Full name :
Gender:
Birth Date:
Witt ID Number:
Email :
Telephone Number :
Current Class Year (First-Year, Sophomore, Junior):
Current Residence:
Credit Hours (including this semester):
GPA:
Are you a Foreign Language or Area Studies Major? Minor? International Student? Other interested party? Please specify.
What Foreign Languages, Area Studies or other “International” classes have you taken?
Have you participated in travel abroad? (If you are an international student please respond “yes.”
Are you currently involved in student organizations? If so, which?
What do you hope to gain from the experience of living in the Polis House for International Awareness?
What do you hope to contribute to this experience?
Do you have a preference for single or double room?
If you prefer a double, do you have a roommate preference?
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