Connecting to the Grove Program Application
  1. First Name(*)
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  2. M.I.
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  3. Last Name(*)
    Please let us know your name.
  4. Student ID#(*)
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  5. Cell Phone(*)
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  6. Home Phone(*)
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  7. Personal Email
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  8. Emergency Contact Name
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  9. Relationship to you
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  10. Emergency Number
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  11. Florent Gillet Residence Hall?
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    Are you an on-campus student living in the Florent Gillet Residence Hall
  12. Campus Room #
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  13. Campus Email(*)
    Please let us know your email address.
  14. Home Address
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  15. What is the best way to contact you?
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  16. Facebook
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    FB Address if other than your name
  17. What is the best time to contact you?
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  18. First Generation(*)
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    Are you a first generation college student (neither parent held a bachelor’s degree by your 18th birthday)?
  19. Intended Major(*)
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  20. Intended Minor
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  21. Are you Undeclared?
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  22. Program feature(s) of interest








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    Please indicate which program feature (s) are of particular interest to you (check all that apply)
  23. Statement of Interest(*)
    Please let us know your message.
    Please write a brief statement in the space below explaining why you would like to join connecting to the Grove (CTG).
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