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Telephone:
216-397-4698

 


Leadership and Social Justice Learning Community
Application Form

For fall 2009, the program is currently closed; any registrations received after June 8, 2009 will be placed on a waiting list.

 


Complete the following application as soon as possible. We are only able to accept 20 students for the fall 2009 learning community. Students will be accepted on a first-come first serve basis.

 
Name:
Home Street Address:
City:
State:
Zip Code:
Home phone number:
Cell phone number:
Email Address:
Birth date:
 

Male:   Female:

Possible Major Area of Study:

Please include a short statement reflecting your interest in joining this learning community. For example, what are your expectations, social justice interests, what you bring to the community
   
When you hit submit, your information will be automatically sent to Dr. Lauren Bowen (bowen@jcu.edu) and Dr. Peggy Finucane (mfinucane@jcu.edu).


John Carroll University, University Heights, OH 44118  |  (216) 397-4294  | (888) 335-6800 (toll-free)   |  (216) 397-4981 (fax)