Community Card Application 2015 Thank you for your interest to obtain a CWRU Community Card! As a card holder, you will have access to the university’s campus facilities, services and notification about signature special events. Some of the facilities include: Village at 115 Track and Field Thinkbox Entrepreneur Center Kelvin Smith Library Tennis courts Basketball courts Alumni House One to One Fitness Center (annual membership required – discount provided to card holders) Adelbert Recreation Center and Gymnasium (annual membership required) Please complete the information below and once completed, take application to CWRU’s Division of Access Services. It is on the lower level of CWRU’s Crawford Hall, located at the intersection of Euclid Avenue & East Boulevard (west of Amasa Stone Church or across from Severance Hall). In addition to application, please bring a government issued photo I.D. (state I.D., driver’s license, military I.D.) and your application fee of $25. Please be advised your picture will be taken for the Case Community Card. For directions, please call (216) 368-2273. 15 minute parking is available in the Campus Visitor’s Parking Lot located adjacent to Crawford Hall. Applicant Name: ________________________________________________________________________ Address: _______________________________________________________________________________ City/Zip Code: __________________________________________________________________________ Home Phone: __________________________________________________________________________ Cell Phone: __________________________________________________________________________ E-Mail: ________________________________________________________________________________ Thank You For Becoming A Case Community Cardholder! We look forward to seeing you around campus! For Office Use Only Date Received Card: _____________________________________________________ Picture Identification (e.g., Driver’s License, State I.D., other) __________________