Learning Community Application

2017-2018 Living Learning Community Application

I UNDERSTAND I MUST ALREADY BE ADMITTED TO SHSU AND HAVE AN APPLICATION AND UNIVERSITY HOUSING DEPOSIT ON FILE IN ORDER TO BE CONSIDERED FOR A LIVING LEARNING COMMUNITY

* are required fields

Gender

*Additional Information: You are also required to write an essay that is at least one page, double spaced addressing this prompt: Please explain 1) why you want to participate in this program, 2) how you can contribute to the community, and 3) what your current strategies for academic success are. (If applying for the BLC, you have the option to schedule a phone or in person interview with the program coordinator). Your application will not be complete until this step has been completed.

STATEMENT OF AGREEMENT FOR PARENTAL COMMUNICATION:

I acknowledge that under the Family and Educational Rights & Privacy Act (FERPA), SHSU and the Freshman Learning Community staff cannot release certain educational information to another person without my written authorization. I agree that if admitted to a residential learning community, this form serves as my permission for any member(s) of the Learning Community Advisory Committee to contact my parent(s) regarding any information pertaining to my academic success (including but not limited to specific course work) academic progress, and behavioral issues in the classroom or residence hall. I understand that it is necessary for the greater good of the learning community to seek an open communication flow among student, advisor(s), and parent(s).

The Freshman Learning Communities exist to provide the opportunity for freshman students to combine the academic and residence life experience during their first year at Sam Houston State University. Each participant is asked to acknowledge acceptance of the following stipulations of the learning community and in doing so understands that violation of this agreement may result in exclusion from the program.

I accept assignment to the Living Learning Community, and I understand and agree to abide by the conditions of this participation agreement.