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Gender:

  • Male
  • Female

Source of funds for housing:

  • Self-pay
  • Scholarship
  • Other

Have you ever been convicted of a felony?

  • Yes
  • No

Have you ever been convicted of a sexual crime?

  • Yes
  • No

Contract Length:

  • Summer Only (June and July)
  • Spring Only (begins in January)
  • Fall Only (begins in August)
  • Academic Year (Fall begins in August and Spring the following January)

Select your first preference:

  • 4 Bedroom Furnished Unit
  • 2 Bedroom Furnished Unit

Do you feel most comfortable in your room when it is neat or messy? (Rate with 1 being neatest and 5 messiest):

  • 1
  • 2
  • 3
  • 4
  • 5

Do you mind music when studying?

  • Yes
  • No

Do you smoke?

  • Yes
  • No

Meal Plan (choose one):

  • 12 meals per week
  • 15 meals per week

I agree to the above terms:

  • Yes
  • No

Have you ever been arrested or convicted of a felony, in this state or any other state?

  • Yes
  • No

Have you ever been arrested or convicted of a sexual offense in this state or any other state?

  • Yes
  • No
 
  • I have read and agree to the above background consent and waivers.