Name:

Gender: Male Female    Date of Birth (MM/DD/YY):

Home Address:

Possible Major(s) - if known:

Marist Email:

Phone #:

Please select the Special Interest Floor for which you wish to apply:
Science Majors Special Interest Floor
Community Service Floor

What interests you most about living in the Special Interest Area you selected?

What experience or interests would you bring to the community?

What do you hope to gain by living in a special interest area?

Please finish this sentence:
The thing people would find most interesting about me is...