Center for Civic Engagement and Leadership

SLU Buddies Canton Returning Application

Please Note: This application is for current Canton SLU Buddies only. All new applicants must fill out an application to apply to the SLU Buddies Program.

Personal Information:

Name:

E-mail :

Month and Year You Started in the SLU Buddies Program:

Buddy's Name :

Buddy's Grade :

General Questions:

1.) Will you be returning next semester?

2.) If you will not be returning next semester, please select the reason why below:

"Other" reason:

Next Semester Availability:

If returning next semester:

I Can Continue to See My Buddy on (Day of Week) at (Time of Day)

I Need to Change When I See My Buddy to (Day of Week) at (Time of Day)

Transportation:

Please check all that apply:

I will use the University Van (available Monday, Tuesday, Wednesday, Thursday: 2:15-3:45pm)

I can't make these times, and need transportation

I have a car and can give a ride to other SLU Buddies (Enter # of people you can give a ride to: