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Wellness Education Bandits Application

Full name:

Campus address:

Permanent home address:

Cell phone:

Primary e-mail:

Alternate e-mail:

Current degree program or major:

Cumulative credit hours:

Cumulative GPA:

Current status:

Expected year of graduation:

If I am not chosen to be a Wellness Education Bandit, I would like to apply to be a Bandits Volunteer to assist with future programming: Yes No

List other clubs and/or organizations in which you are involved at the University of Richmond.

Describe any academic and/or work experience you have that is related to this position.

Describe any personal experience, skills, and/or interests that you have related to this program or wellness education

Indicate any additional factors that you believe should be taken into consideration in reviewing your application.