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Summer Housing Request
  • Summer Housing Request

    Required fields are marked with an asterisk.* 

    Layout table for form.
    First Name*
     Last Name*
    Capital ID Number*
    Contact Phone Number*
    Current Residence Hall Building and Room


    Roommate Request 1
    Roommate Request 2
    Roommate Request 3
    Living on Campus 2014-2015?
    Will you remain in your current housing assignment until your Summer Housing assignment is available? (Please note, residents will be charged for this time period) 
    Desired move-in date
     [None] Select a Date Delete the Date
    Desired move-out date
     [None] Select a Date Delete the Date
    Reason for Application:
    Other Information you want us to know