Housing Request for Distance and Adv. Degree

Your Degree Program *

Full Name and Title *

Phone Number *

E-mail Address *

Term *

Course(s) you are taking

Date Arriving *

Month

Day

Year

Date Departing *

Month

Day

Year

Room Request *

Off Campus--making own reservation

On Campus--Single Room; shared bath and kitchen - $50/night

On Campus--Married Accommodation (limited availability) - $75/night

If requesting married housing, spouse name

I would like a roommate

I have no preference

Other

If you have arranged to room with someone please place their name in the box for "other"

Other

Unless checked, meals will automatically be charged to your student account at $90/week for breakfast and lunch

I will not be eating in the refectory

Special Needs or Requests for accommodations

Please include anything special you might need for housing or dietary restrictions

Job Board

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