<p> CARL A. ELLIOTT SERVICE HONOR SOCIETY</p><p>APPLICANT INFORMATION Name: Date of Birth: CWID: Phone: Permanent Address: City: State: ZIP Code: Current Address: Apartment: City: State: Zip Code: Local Phone: E-mail: Residence Hall: EDUCATION INFORMATION Major: Minor: GPA: REFERENCES At least one reference must be an employee of The University of Alabama Name Relationship Phone</p><p>SIGNATURE</p><p>By completing this application, I give the Carl A. Elliott Service Honor Society the right to validate this information on this application. I further verify that the information that I have supplied is true and accurate to the best of my knowledge.</p><p>Signature of applicant: Date:</p><p>Response: Please type your responses and staples them to this form. If you are turning in this form by e-mail, please provide your answers in an attached word document and include your name and CWID in the top left-hand corner of response page. Thank you.</p><p>1. In list form indicate your current responsibilities in order of most important to you. Please do not include a resume.</p><p>2. Briefly describe why the top three responsibilities you listed are most important to you and what you gain from them.</p><p>3. Please list any volunteer experiences you have been involved with as a college student (include your senior year in high school if you are a freshman). From that list please briefly describe the volunteer experience that you have enjoyed the most and tell why it has been so influential to you. </p><p>*All applications must be submitted to [email protected] . No late applications will be accepted. Application deadline is February 22, 2007. Please include “YOUR NAME – Application” in the e-mail’s subject line.</p>