Assistant Proctor Application Form - Residential Life - Sewanee

First Name:

Last Name:

Student ID #:

Class Year:

Residence Hall/ Room #:

Phone:

Email:

GPA for last two consecutive semesters:

Gownsmen?

Please list 3 Academic departments that interest you (e.g. Art, Religion, Chemistry):

Please list your intended major:

Who might you like as your roommate next year?

Do you have any special needs that might affect your housing (i.e. allergies):

Yes

No

If you answered yes above please explain:

Evaluations will be completed by:

Proctor:

Head Resident:

Will you be able to return Tuesday, August 19, 2008 for Leadership Training and Orientation for new students?

If you answered no, please explain:

Please direct questions to Nicky Hamilton, Director of Residential Life, at 598-1446.