Healthy Lion Council (HLC) Interest Application

Please complete all fields.

- indicates required field

Name

UNA Email

Phone Number

Campus or Local Address

Semester Classification

Anticipated Graduation Date

Transfer Status

I transferred to UNA

I did not transfer

Major

Minor

Enter Your Cumulative GPA minimum 2.5 GPA Required

Tell us what do you hope to gain by participating in HLC

Please describe the strengths and qualities you feel you can bring to HLC

Please tell us if you would you be willing to commit to HLC for multiple semesters

yes

Please tell us one initiative or topic of Health and Wellness you wish you knew about prior to coming to college

Interests and Hobbies

Campus involvement please tell us what clubs groups or organizations in which you are involved in

Optional

I agree the information submitted on this form is true and accurate. I agree to not share or disclose any sensitive information I may inadvertently learn while participating in Healthy Lion Council (HLC). I agree to actively communicate with the Health and Wellness areas/offices on campus as needed and actively participate as a member of the Healthy Lion Council (HLC).

Name

Date

I agree to the above Disclosure and Confidentiality Agreement

I agree

All members of Healthy Lion Council (HLC) will be required to submit a resume and attend an interest session with current HLC student officers and HLC Advisor

I agree

Individuals seeking membership are subject to a disciplinary history check by the Office of Student Conduct. By submitting this application, you agree to allow your disciplinary history at the University of North Alabama to be disclosed to the Executive Director for Health and Well-Being and the Healthy Lion Council advisor.

I agree

Please make sure all required fields have been filled out correctly.

Submission received!

About UNA

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Student Resources

University of North Alabama

Healthy Lion Council (HLC) Interest Application

Contact Information

Academic Information

Participation Goals and Preferences

Comments

Disclosure and Confidentiality Agreement