Housing Application

General Information

* Select Your Residency (Year - Semester):

* Are you a returning student who was in housing last semester?

* First Name:

* Middle Name:

* Last Name:

* Student ID (Ex. A12345678):

* Date of Birth:

* Gender:

Male

Female

Mailing and Contact Information

* Mailing Address:

* City:

* State:

* Zip Code:

* Cell Phone:

* Email Address:

* Please verify your Email:

Emergency and Medical Information

* Emergency Contact:

* Emergency Contact Home Phone:

* Emergency Contact Work Phone:

If you need accommodations please contact the Director of Counseling, Testing, Career, and Disability Services, Ms. Rene Ramon.

Academic Information

* Major Course of Study:

* Class Level:

Housing Preferences

* Do you have a living area (building) assignment preference?

* Do you have a preference for roomate(s) selection?:

Dorm Occupancy:

**Actual reservations and room assignments are made on the basis of dated receipt of $20 application fee and $200 deposit. The Housing Office cannot guarantee your first choice but will make every effort to honor your preference. The university reserves the right to place all students.

Single

Double

Aggie Annex Occupancy:

2 residents

3 residents

Aggie Annex Room Occupancy:

**Actual reservations and room assignments are made on the basis of dated receipt of $20 application fee and $200 deposit. The Housing Office cannot guarantee your first choice but will make every effort to honor your preference. The university reserves the right to place all students.

Single

Double

Living Area Preferences

Please rank your choice of living areas in order of your preference: (1 being 1st preference)

* Holter Hall

* Field Hall (Males Only)

* Aggie Annex (3.0 or greater GPA and sophomore classification or higher)

* Aggie Apartments (sophomore classification or higher)

Roommate Preferences

Enter up to three prefered roommates.

Roommate #1's Name:

Roommate #2's Name:

Roommate #3's Name:

Meal Plan

* Meal Plan Choice:

All Holter/Field Hall residents are required to be on a 10, 15, or 20 meal plan.

No Meal Plan ($0/semester)

5 meals/week ($864/semester)

10 meals/ week ($1,578/semester)

15 meals/ week ($1,683/semester)

20 meals/week ($1,813/semester)