2020-2021 UDXA House Application
We are as excited as you are of the possibility of getting a Special Interest House in the Student Neighborhood! We hope this house is a blessing to the campus and where students meet Jesus.

This application will be reviewed and approved by January 13, 2020. You will be informed of the result either way.

DISCLAIMER:
Currently, we have not been officially given a Special Interest House. Approval of this application does not guarantee you a spot in the Neighborhood nor does it mean you will be living in the XA House. The purpose of this internal application is to collect a group of potential roommates who will serve as the applicants for our Special Interest House in January.
Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Year in School *
Name of Core Group Leader *
Your answer
Are you currently meeting regularly for discipleship with your Core Group Leader? *
Have you attended the XA 101 membership class and been approved as an official member of Chi Alpha? *
How many PATH points do you currently have? *
Your answer
Who are your desired roommates? *
List up to 3 other students (ask them to apply with you!)
Your answer
Are you planning on co-oping or studying abroad next year? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms