Residence Life

Bold items indicate required fields.

CSU ID

First Name

Middle Initial

Last Name

Birthdate MM/DD/YYYY

Street Address

City

State

ZIP Code

County (Ohio only)

Country

Citizenship status

Gender

Phone

Cell Phone

Special Needs or Conditions

Class standing for Fall 2010:

Full or Part time student?

Type of student

High School Attended

Graduation Date

Returning or New Resident

Applying For:

Fenn Tower, Viking Hall, Euclid Commons or Heritage Suites First Choice:

Fenn Tower, Viking Hall, Euclid Commons or Heritage Suites Second Choice:

Fenn Tower, Viking Hall, Euclid Commons or Heritage Suites Third Choice:

Will you be on an intercollegiate athletic scholarship?

Will you be on an Honors Program scholarship

Have you ever been convicted of a felony

Have you ever been evicted from any residence

Have you ever filed bankruptcy?

Additional requests or comments?
Please type a brief message here.

Mailing Address
Cleveland State University
2121 Euclid Avenue, FT 101
Cleveland, OH 44115-2214

Campus Location
Fenn Tower, Room 101
1983 East 24th Street
Phone: 216.687.5196
Fax: 216.687.5156

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