Graduate Student Housing Application

Name(Required)

First Middle Last

Gender(Required)

Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Cell Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Relationship to Student(Required)

Emergency Contact Phone Number(Required)

Term Applying For:(Required)

Year Applying For:(Required)

Graduate Assistant(Required)

Housing Preference(Required)

Graduate Housing Options(Required)

Non-Graduate Specific Housing Options - First Preference

Non-Graduate Specific Housing Options - Second Preference

Hughes Hall Specifications

Roommate Preferences for Apartments

This can be specific names or a description (such as someone within the same graduate program)

Food Plan(Required)

Food Plans are optional for Graduate Students

This information will be utilized to assist in pairing you with roommates or suitemates that best match your interests.

Please check all that apply to you:(Required)

I am a smoker

I am a non-smoker and wish to live with a non-smoker

I am a non-smoker but do not mind living with a smoker

I am neat and tidy

I generally keep my room a mess

I prefer to keep the room at a warmer temperature

I prefer to keep the room at a cooler temperature

I prefer quiet/silence when studying

I prefer to study with some noise in the room

I am pursuing the following degree:(Required)