Housing Application

General Information

* Select Your Residency (Year - Semester):

* First Name:

* Middle Name:

* Last Name:

* Student ID (Ex. A12345678):

* Date of Birth:

* Gender:

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 Academic Resource Center

Academic Information

* Major Course of Study:

* Class Level:

* Are you participating in any athletics / sports?

Yes

No

* Please list the sport or program(s):

Housing Preferences

* Which living area (building) do you prefer?

Holter Hall

Field Hall (Males Only)

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

Aggie Apartments (sophomore classification or higher)

* Select an alternative living area (building) 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)

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

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.

Private

With Roommate (Semi-Private)

Aggie Annex Unit Occupancy:

2 residents

3 residents

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)