MLLC Application - 2013

Please fill out this form to apply for the MLLC on Food 2013
  • (Last, First)
  • Class of
  • Your 999 number
  • What is your cell phone number?
  • Please describe your course of study, including majors and correlates.
  • Who is your faculty adviser?
  • Please provide the name of an instructor familiar with your recent work.
  • Please provide the name of another instructor familiar with your recent work.
  • Please list courses that you have taken that were most relevant to the topic of the MLLC.
  • What is your overall GPA? (Please be sure to report your latest PGA as it appears on your transcript.)
  • Please upload your transcript here (.pdf, .doc, .jpg, .png, or .gif).
    Accepted file types: pdf, doc, jpg, png, gif.
  • Will you play a Varsity sport during the MLLC Semester? If so, which sport?
  • By typing your name in the box below, you are indicating your agreement that you understand that if you are accepted into the Multidisciplinary Learning-Living Community on Food (MLLC), you will participate in all MLLC activities, including sharing a place of residence with fellow participants. You also agree to prioritize the academic requirements of the MLLC over extracurricular activities that may conflict with these activities.