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AT THE HALF Registration Form

REGISTRATION FOR THE 2009 AT THE 1/2 PROGRAM

IS NOW CLOSED.
 

Contact Information:
  *Required Fields

* Name
* Major
* Date of Birth
* Student/Banner ID Number:
HOME/PERMANENT INFO
* Street Address
* City, State, Zip
* Cell Phone Number
* VU Email
* T-Shirt Size
* Dinner Choice Steak     Chicken
* Are you a Certified Driver? Yes       No
* Best Way To Contact You?

Please List Three People who have influenced  your VU experience.

NAME                              RELATIONSHIP
Please answer the following to the best of your ability.
Why are you interested in AT THE HALF?
What do you hope to gain from this experience?
Please tell us an interesting fact about yourself.
What is your favorite song?  Why?

As an AT THE HALF applicant, I hereby claim the information contained in this application is correct to the best of my knowledge. I will drop off a $50 deposit by the application deadline to Dougherty 214 to reserve my position in the program (checks can be made payable to Villanova University). The $50 will be returned upon departure from campus on Friday, January 30, 2009. I understand that if I sign up for At the Half, am selected, and do not attend, I will lose my $50 deposit. I confirm that I am available January 30- February 1, 2009.