Humanities Collegian Center Application and Survey

To apply to the Collegian Center, please fill out the information below completely and hit the "submit form" key. You will receive an email confirmation when your application has been processed

Please provide the following contact information:

Name

Title

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-mail

What is your major? If you are undecided, what subject interests you most?

Choose one of the following options:

What career interests you most?

What times would be best for you for meetings and events? Select any of the following options that apply:

Monday mornings        Monday afternoons    Monday evenings          Tuesday mornings    
Tuesday afternoons    Tuesday evenings      Wednesday mornings    Wednesday afternoons Wednesday evenings   Thursday mornings    Thursday afternoons    Thursday evenings   
Friday mornings          Friday afternoons     Friday evenings            Saturday            
Sunday

Select the activities that interest you most. You may select more than one activity:

Academic guest speakers  Faculty-led workshops                                   Student music performances                           Fieldtrips to see professional music performances  
Fieldtrips to art museums  Fieldtrips to see plays/theater performances Fieldtrip to hear authors read their works      Student and staff poetry and fiction reading       
Student-led discussions    Book club                                                      Film screenings and discussions                      Career-related workshops

Please list any other activities/events you think the Humanities Collegian Center should sponsor.

Would you like a faculty mentor? If yes, in what field?

Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail