Community Engagement Leadership House Information Request
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Thank you for your interest in the University of Cincinnati Community Engagement Leadership House! Please fill out the following information form to receive more information on the house, including information on applying for the 2010-2011 house.
1
. Name and contact information
Name and contact information
Name:
Phone:
Email:
2
. I am currently a:
I am currently a:
high school junior
high school senior
student at another college or university, considering transferring to U.C.
U.C. first-year student
U.C. second-year student
U.C. third-year student
U.C. fourth-year (or above) undergraduate student
U.C. graduate student
Other (please specify)
3
. What school do you currently attend?
What school do you currently attend?
4
. Have you visited any of the following? (Check all that apply)
Have you visited any of the following? (Check all that apply)
the Center for Community Engagement website
the CCE House official website
the CCE House blog
our Facebook page
our Twitter feed
the CCE House
none of the above
5
. How did you learn about the CCE House?
How did you learn about the CCE House?
the Center for Community Engagement(CCE) website
a CCE staff member
an email
an information fair at U.C.
a presentation at U.C.
a presentation outside of U.C.
from a student group
a flier on campus
one of the video boards on campus
word of mouth
Other (please specify)
Thank you for completing our information form! Don’t forget you can visit us anytime at:
Official site: http://www.uc.edu/sas/cce/House.html
CCE House blog: http://ccehouse.blogspot.com
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