Bold items indicate required fields.
Personal Data
CSU ID
First Name
Middle Initial
Last Name
Birthdate MM/DD/YYYY
Street Address
City
State
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ZIP Code
County (Ohio only)
Country
Citizenship status
Please select oneUS CitizenPermanent ResidentNon-Immigrant
Gender
Please select oneMaleFemale
Phone
Cell Phone
Special Needs or Conditions
Enrollment Status
Class standing for Fall 2014:
Please select oneFreshmanSophomoreJuniorSeniorGraduateLaw
Full or Part time student?
Please select oneFull TimePart Time
Type of student
Please select oneIncoming FreshmanTransfer StudentCurrent CSU ResidentCurrent CSU Commuter
High School Attended
Graduation Date
Returning or New Resident
Please select oneReturning ResidentNew Resident
Housing Selection
Applying For:
Please select one Fall 2014Spring 2015Summer 2014
First Choice:
Please select oneFenn Tower - QuadFenn Tower - DoubleFenn Tower - Double with KitchenEuclid Commons - Private BedroomEuclid Commons - Shared BedroomHeritage Hall - Standard EfficiencyHeritage Hall - Deluxe EfficiencyHeritage Hall - One bedroomHeritage Hall - One bedroom deluxe
Second Choice:
Please select oneFenn Tower - QuadFenn Tower - DoubleFenn Tower - Double with KitchenEuclid Commons - Private BedroomEuclid Commons - Shared BedroomHeritage Hall - Standard EfficiencyHeritage Hall - Deluxe EfficiencyHeritage Hall - One bedroomHeritage Hall - One bedroom deluxe
Third Choice:
Please select oneFenn Tower - QuadFenn Tower - DoubleFenn Tower - Double with KitchenEuclid Commons - Private BedroomEuclid Commons - Shared BedroomHeritage Hall - Standard EfficiencyHeritage Hall - Deluxe EfficiencyHeritage Hall - One bedroomHeritage Hall - One bedroom deluxe
About you
Will you be on an intercollegiate athletic scholarship?
Please select oneYesNo
Will you be on an Honors Program scholarship?
Please select oneYesNo
Have you ever pled guilty or been convicted of a criminal offense or have charges pending against you at this time?
Please select oneYesNo
Have you ever been evicted from any residence?
Please select oneYesNo
Have you ever filed bankruptcy?
Please select oneYesNo
Additional requests or comments? Please add the name of the roommate you have chosen (if applicable) Please type a brief message here.