* Your Full Name:

* Your Full E-mail Address:
(ie. username@hostname.com)

Semester and year you plan to return:

What are your top four housing preferences for next year? Indicate residence hall/house, room number preference and room type if applicable (single room, wellness etc.)

1.
2.
3.
4.

What are your plans for the semester if you will not need housing?

Meal plan options:

If assigned to a house or exempt from housing:

0 meals   10 meals
14 meals   19 meals

150 meals per semester

If assigned to a residence hall:

10 meals   14 meals
19 meals

150 meals per semester

If you do not complete the above meal plan section, you will be assigned to the 14 meal plan for a residence hall and 0 meal plan for a house.

* Student signature:
By typing your name here, you are affirming the above statement.

* Full E-mail Address:
(ie. username@hostname.com)