Housing Application

Application also available to download:

Housing Application

Biographical Information

Title:

First Name:

Middle Initial:

Last Name:

Home Street Address:

City:

State:

Zip:

Home Phone (999-999-9999):

Work Phone (999-999-9999):

Cell Phone (999-999-9999):

Email Address:

Date of Birth (MM/DD/YYYY):

Age:

High School:

Enrollment Date:

Classification:

Major:

Minor:

Special Housing Needs

Please complete this survey so we may assign you a roommate with similar interests.

Roommate Preference

Name of 1st Preference:

(1st Preference must be mutually requested to be honored.)

Name of 2nd Preference:

Roommate Age Preference:

My favorite music is:

Music Comments:

I plan to be involved in:

Involvement Comments:

I plan to work:

If yes, how many hours per week?

Varsity sports I plan to play:

I would describe myself as:

I would rather:

I enjoy working with:

I keep a room that is:

I prefer to go to bed:

I prefer to wake up:

I require a place to study that is:

I enjoy these hobbies and activities:

Due to a limited number of rooms available, the College reserves the right to assign, move and/or adjust housing assignments as seen fit. Room assignments for new students cannot be made until both receipt of deposit and completed Housing Application are received.

I certify that this application is accurate and complete to the best of my knowledge. By choosing Yes, I have created an electronic signature as legally binding as my handwritten signature.

Date (MM/DD/YYYY):

Important Note: In order to honor roommate preference, please submit your housing application and deposit by July 15. Housing information (room assignment, roommate, etc) will be distributed the first week of August for those who submit and application and the one-time $100.00 admission deposit prior to July 15. Those who submit an application and deposit later than July 15 will be unable to receive housing information prior to arrival.