Polis House Application

Full name *

Gender *

Birth Date *

Witt ID Number *

Email *

Telephone Number *

Current Class Year (First-Year, Sophomore, Junior): *

Current Residence: *

Credit Hours (including this semester): *

GPA *

Are you a Foreign Language or Area Studies Major? Minor? International Student? Other interested party? Please specify. *

What Foreign Languages, Area Studies or other “International” classes have you taken? *

Have you participated in travel abroad? (If you are an international student please respond “yes.” *

Are you currently involved in student organizations? If so, which? *

What do you hope to gain from the experience of living in the Polis House? *

What do you hope to contribute to this experience? *

Do you have a preference for single or double room? *

If you prefer a double, do you have a roommate preference?