Loyola.edu
Inside.Loyola.edu
Help
Directory
Webmail
Advanced Search
Inside
Academic Life
Advising & Registration
Academic Support
Academic Opportunities
Class Technology & Software
Research
Work LIfe
Work Study
Training
Human Resources
Committees
Governance
Cost Savings
Around Campus
Parking
Eating
Housing
Safety
Other Campuses
Be Active
Student Clubs
Varsity Athletics
Club & Rec Sports
Volunteer
Retreats
Campus Events
Around Baltimore
Departments
Academic Departments
Administrative Departments
Centers & Offices
Student Organizations
Resources
Technology
Events & Catering
Operations & Maintenance
Health & Disability
Counseling
The University
President's Office
History & Tradition
Mission & Values
Strategic Plan
Diversity
Home
»
Home
»
Health Services »
Health Services
Sign Out
Home
About Us
New Student Info
Health Insurance
Important Phone Numbers
Contact Us
Student Health Advisory Committee (SHAC) Application
Date
«
Name
«
Home/Dorm Phone
«
Work Phone
Address
«
City
«
State
«
-- Select from the following --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Africa
Armed Forces Americas (except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip
«
E-mail
«
Year of School
«
College
«
Gender
Male
Female
Major
«
Activities/Community Service, duration
«
What previous experiences or ideas or qualifications will you bring to SHAC?
«
What group of students will you represent on SHAC? How will you improve communicate with them?
«
Please explain why you are interested in serving on SHAC
«
Goals for SHAC involvement
«
Future Career Goals
«
Resume
No more than one side of one page
Fields marked with "«" are required.
H1N1 / Swine Flu
General Information
H1N1 Vaccine Information Statement
Campus Message Archive
Letter from the Director
Quick Links
Student Involvement
Support Groups
Healthy Travel
Helpful Links
Events