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Commuter Housing Application Spring 2009

Commuter Housing Application
Student ID Number  *
Last Name  *
First Name  *
Email Address  *

Daytime Phone Number  *
Evening Phone Number  *
Street Address  *
Apartment / Box Number
City  *
State  *
Zip Code  *
Gender  *
Male
Female
Nights Needed  *

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Roommate Preference
Special Needs and Concerns
Please be sure to include information about health conditions that may prevent you from climbing stairs or require you to be near a bathroom.
    

Applications are honored in the order in which they are received.  All applications are a reservation for space.  Should you decide you will no longer require your assigned room, it is your responsibility to notify the Office of Housing.  Failure to do so in a timely manner will result in charges on your account that cannot be refunded or only a partial refund.  If approved for housing, you will be issued a contract for your signature, and charges will be applied to your student account. By submitting this application, you agree to the terms laid out in the Residential Life section of the Student Handbook, available online.

* Required


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