College of Business Colleagues (CBC) - Kent State University College of Business

Learning Community Application

First Name

Middle Name

Last Name

Address

City

State

Zip

E-mail Address

Phone

Please indicate accordingly:

I attended Destination Kent: Advising and Registration on or I will attend Destination Kent: Advising and Registation on

1.) How did you hear about Kent State University's learning communities?

Direct mailing to my home
Kent State University's Destination Kent: Advising and Registration program
Residence Services
Kent State University Area Reception that was held in my home town
Family member or friend
Other
If you selected "Other," please specify:

2.) Reason for your interest in this particular learning community: (select all that apply)

To help with my transition to college
Chance to meet new people with similar interests
Knew someone else who joined the program
Wanted academic support / enrichment
Parents signed me up
Other
If you selected "Other," please specify:

3.) Please further explain your interest in the program.

4.) Please list a sampling of your work experience, activities, interests, hobbies, and/or special skills (e.g. lifeguard certificate, etc.)

5.) What is your cummulative high school GPA?

6.) Have you ever taken any business courses? If yes, please list.

I understand the expectations that are required of me as a CBC participant and I would like full consideration to be part of the program. I also understand that the CBC staff and Residence Services may adjust my scheduling and housing to meet the needs of the community and provide them with the authority to do so, with the understanding that I will be notified. (Please mark as a sign of agreement)