Housing Application

General Info

* Residency to begin (Year - Semester):

* Legal Last Name:

* Legal First Name:

* Middle Name:

Campus ID:

* Birth Date:

* Age:

* Gender:

Male

Female

Mailing and Contact Info

* Mailing Address:

* City:

* State:

* Zip Code:

* Cell Phone:

* Email Address:

Emergency and Medical

* Emergency Contact:

* Emergency Contact Home Phone:

* Emergency Contact Work Phone:

* List Disabilities or Medical Conditions

Major

* Major Course of Study:

* Class Level:

* Are you a scholarship athlete?

Yes

No

* Which Sport?:

Housing Preference

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

Keep in mind freshman are required to live in the dormitories the first year, no exceptions.

Holter Hall

Field Hall (Males Only)

Aggie Annex (3.0 or greater GPA)

Aggie Apartments

* Holter/Field 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

N/A

* 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

N/A

Meal Plan

* Meal Plan Choice:

**All Holter/Field Hall residents are required to be on a 10, 15, or 20 meal plan. If a meal plan is not selected, you will be put on the 20-meal plan. No refund is made for meals not eaten. Meals are non-transferable. Students are to abide by the rules and regulations of dining hall.

No Meal Plan

5 meals/week

10 meals/ week

15 meals/ week

20 meals/week

Roommates

* Roommate #1

* Roommate #2

* Roommate #3

* Alternate Choice

Housing Application

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