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| Moffet Hall, Ground Floor | Box 6899 |
Phone (540) 831-5111 | Fax (540) 831-6638 | |
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Student Affairs Links : |
Student Health Awareness Club - SHAC Membership Application The membership is FREE and all RU students are eligible to apply.
1. Name: 2. E-Mail: 3. Cell Phone 4. Home Phone 5. Current Address : 6. Home Address : 7. Major : 8. Minor : 9. GPA : 10. Have you ever been on Academic Probation? Yes No 11. When will you graduate? 12. Why are you interested in joining SHAC? 13. Please list your hobbies / extra-curricular activities 14. Have you taken any classes related to health? (Enter 'Yes' or 'No') Training will be provided as needed.Nutrition Sexual Health Mental Health Physical Activity Alcohol, Tobacco and other Drugs Other 15. What areas of health promotion would you like to help with? (Enter 'Yes' or 'No') Program Planning/Designing Publicity/Advertising Presentations 16. What else would you like us to know about you? 17. Please provide your class-schedule or enter your time availability (on Monday - Friday) for SHAC meetings and activities in Fall 2009. (The club usually meets twice a month)
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