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Resident Hall Applcation - Students Must Complete This Form

A residential agreement includes room rent and meal plan. At least a 2 meal plan is required for all students living in a resident hall.

Resident hall accommodations and roommate assignments are made on a first-come, first-served, space available basis from the date you complete and return this applcation with housing deposit.

This information is for the Office of Student Services, it will not be shared with anyone outside this office.

Personal Information

Name
Date
Street Address
City
State/Province
Zip/Postal Code
Home Phone Number
Sex



Major
Email Address
Date of Birth
Social Security
Age
Circle Classification






Semester and year housing is to begin
Roommate Preference

Please Answer the Following Questions Honestly

Weekdays:

I get up at:

I go to bed at:

Weekends:

I get up at:

I go to bed at:

Do you function better in




   
I feel most comfortable in my room when



   
I prefer to study