Room Request Form

First Name *

Last Name *

Phone *

Email *

Class Year *

Freshmen

Sophomore

Junior

Senior

Room Descriptions:

Single - Priority given to those over 30 years of age, and upperclassmen, based on availability. Cost is an additional $804 per semester. (Not available to freshmen under 30)

Double - A typical dorm room offering two beds, two desks, two closets, and two students.

Double Suite - This is a double room which houses two students, but is divided in half by a closet for increased privacy.

Room Preference: Please fill in single, double, or double suite.

First Choice
Second Choice
Third Choice

Preferred Roommate

If no rommate is designated, a selection will be made for you.

Signature

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