Residence Life

Application

Bold items indicate required fields.

Personal Data

First Name

Middle Initial

Last Name

Street Address

City

State

Outside USAlabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP Code

County (Ohio only)

Country

option 1              option 2option 3United States of America

Citizenship status

Please select oneUS CitizenPermanent Resident Non-Immigrant

Gender

Please select oneMaleFemale

Phone

Email

Special Needs or Conditions

Enrollment Status

Number of credit hours you
will have completed by fall?

Please select oneFreshmanSophomoreJuniorSenior

Full or Part time student?

Please select oneFull TimePart Time

Type of student

Please select statusUndergraduate FreshmanUndergraduate TransferPost-SecondaryPost BaccalaureateFirst Year GraduateTransfer GraduatePost GraduateNon-Degree

Housing Selection

First Choice

Please select status2 bed 1bath 1 bed 1bath

Second Choice

Please select status2 bed 1bath 1 bed 1bath

Third Choice

Please select status2 bed 1bath 1 bed 1bath

Your expected move-in date

About you

Do you smoke?

Please select statusYesNo

How many nights do you participate in social events

Please select status0.-25-7

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