Online Application

Bold items indicate required fields.

Personal Data

CSU ID

 

First Name

 

Middle Initial

 

Last Name

 

Birthdate MM/DD/YYYY

 

Street Address

 

City

 

State

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP Code

 

County (Ohio only)

 

Country

 

Citizenship status

Please select oneUS CitizenPermanent ResidentNon-Immigrant

Gender

Please select oneMaleFemale

Phone

 

Cell Phone

 

Email

 

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 oneFall 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.