Pre-Med/Pre-Dent LLC Application and Participation Agreement

Instructions

**Attention: this is not a housing contract. To submit your housing contract, visit this page. You must have submitted your housing contract before you can be assigned to a living-learning community.
When completing your agreement, read the conditions of participation carefully before you submit.
If you are accepted to the community, room assignments for the Pre-Med/Pre-Dental will occur on a rolling basis. This process will correspond to the regular housing room assignments calendar.
Room Assignments Calendar
Any contracts received after May 1, 2018 will be assigned to a room as available.

First Name *

Last Name *

Date *

Student ID Number *

Gender *

Student E-Mail address *

Student Phone Number *

When is the best time to reach you by phone? *

What major have you declared at Texas State? *

To what type of professional school do you plan to apply? *

Did you earn any dual credit during high school? *

If yes, from what college did you earn your credits?

If any of your credits are science or math courses, please list them here.

Please list any AP exams that you have taken or plan to take.

How did you hear about the pre-med/pre-dent LLC? *

Why do you want to be a member of the 2018-2019 Pre-Med/Pre-Dent LLC? *

0/500

What benefits or experiences do you hope to gain from participating in this LLC? *

0/500

What experiences and qualities will you bring to the LLC? Please note any activities, organizations, experiences, or background information about yourself that suggests you would be an asset to the LLC. *

0/500

If accepted to the LLC, I understand that I will automatically be enrolled in courses designated for my LLC for the fall semester. *

I will register myself for courses designated for my LLC for the spring semester. *

I will participate in a total of 14 events outside of the classroom with my LLC. Seven events in the fall semester and seven events in the spring semester. This is an average of one clock hour every other week. *

I understand that if I change my major but want to remain in my assigned space, I will work with my resident assistant to find other ways to contribute to the LLC. *

I understand that misrepresenting my major, minor, or interests in order to gain assignment into a particular facility or with a specific roommate/suitemate is a violation of the Texas State University Honor Code and will result in disciplinary action via the student conduct process. *

Do you already have a room assignment? *

If you already have a room assignment, do you give the LLC Program permission to change your room assignment to a room (and roommate) within your requested LLC?

If accepted to the LLC, I understand that I will automatically be assigned to a room in Tower hall. I will not participate in the room/roommate selection process. *

I am asking to join an LLC for:

spring semester 2018

fall semester 2018 and spring semester 2019

Pre-Med/Pre-Dent LLC Application and Participation Agreement

Instructions

Living-Learning Communities