Room Request Form

First Name *

Last Name *

Phone *

Email *

Class Year *

Freshmen

Sophomore

Junior

Senior

Room Descriptions:

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 double, or double suite.

First Choice
Second Choice

Preferred Roommate

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

Students have the option to request a guaranteed single occupancy room. This means that they will not be assigned a roommate during their stay at Northpoint. However, to be guaranteed a single room, an additional fee of $804 dollars per semester will be added to their school bill.

If a single room is not requested, there is a chance that students will be assigned a roommate at a later date if necessary.

Guaranteed Single Occupancy Room (No Roommate)

I would like to request a guaranteed single occupant room.

Additional Fee Agreement

I understand that I will pay an additional $804 per semester (in addition to the room and board fee) to have a guaranteed single occupant room.

Signature

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