Wellness Education Bandits Application

Full Name:

Campus Address:

Permanent Home Address:

Cell Phone

Primary Email:

Alternate Email:

Current Degree Program or Major:

Cumulative credit hours:

Cumulative GPA:

Current Status:

Expected Year of Graduation:

If I am not chosen to be a Wellness Education Bandit, I would like to apply to be a Bandits Volunteer to assist with future programming:

Yes No

List other clubs and/or organizations in which you are involved at the University of Richmond.

Describe any academic and/or work experience you have that is related to this position.

Describe any personal experience, skills, and/or interests that you have related to this program or wellness education.

Indicate any additional factors that you believe should be taken into consideration in reviewing your application.

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