GreenHouse Application

Contact Information

First Name

Last Name

Class Standing

Mobile Phone

Email

Address

City / State / Zip

Living at GreenHouse

Are you willing to commit to living in the house for the whole academic year (priority is given to those willing to commit to the full year)? Yes 1 No 2

Are you interested in the double room? Yes 1 No 2

Do you have a roommate in mind? If so,whom?

GreenHouse residents are expected to participate in at least one hour of weekly programming, complete weekly household chores, take an active part in the community life, and participate in community service. Can commit to these expectations? Yes 1 No 2

About You

Age

1. What activities do you plan on being involved in during the upcoming academic year? (study abroad, internships, student organizations, religious organizations, campus or off-campus jobs, etc).

2. What is your major or intended major? What are you currently thinking that you might do with your degree?

3. What experiences of community, if any, have you had in the past? Why are you interested in communal living, and what do you hope to learn?

4. What strengths might you bring to the community?

5. Are there special needs you may have that might impact your ability to participate in the community? (physical, medical, legal, emotional, or dietary needs, etc.)

6. Please provide any other information about yourself, past experiences, or your interests and abilities that may affect your involvement as a resident in GreenHouse community.

Reflection Questions

What core values do you hold and how would these be reflected in your involvement with theGreenHouse community? If it is helpful, refer to a list of core values, such as the one found on corevalueslist.com, chose the top five values, and expand upon those.
What do “faith” and “church” (or “community of faith” if that is more applicable) mean to you,and what has contributed to your understanding of these concepts?

References

Personal/Character Reference (friend, employer, etc.)

First Name

Last Name

Relationship to you

Daytime Phone

Evening Phone

Email

Address

City / State / Zip

Religious/Academic Reference (minister, professor, high school teacher, etc.)

First Name

Last Name

Relationship to you

Daytime Phone

Evening Phone

Email

Address

City / State / Zip

Upload your reflection questions and additional references (additional references not required) in a .doc, .docx, or PDF format.

I agree to Terms and Conditions

Thank you for applying to be a part of GreenHouse. We will contact you once we have reviewed all applications submitted. If you have any questions please contact us.