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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*
     
    Email*
     
    Current Residence Hall Building and Room
     

    Gender
               

    Smoker
               
    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
     

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