U-CHALLENGE Application

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Semester and Year

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Acceptance or Denial Response By:

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Name:*

First Last

UIN:*

Email:*

Major:*

Classification:*

Are you signing up with a team?*

Yes

If you are answered yes above, please list the names of your team members:*

Would you like to be a Team Leader?*

Yes

Have you ever lived on campus?*

Yes, I CURRENTLY live on campus

Yes, I have lived on campus before, but not currently

No, I've never lived on campus

If you answered yes above, where do you live on campus?*

What you wish to accomplish through this experience:*

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