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.

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? *
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