Personal Info
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Contact Info
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Please give us the address for your home or last place of residence, not your Berea mailing address.
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Academic Info
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Are you currently on any form of probation? (check all that apply)
EPG Commitment
Short answer (no more than 300 words). You may want to compose your response in a Word document and copy it over.
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References

Please fill out the information for your on-campus references below. This form will send them an automated email asking them to complete a recommendation for you. Be sure to ask them for permission to list them as a reference prior to doing so.

References must be professors or staff. Students cannot provide references

Referrer #1

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Referrer #2

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If you have questions you can call 985-3554 or e-mail us at epg@berea.edu. You may also stop by the EPG offices on the third floor of Stephenson Hall (formerly the Bruce-Trades Building).