Please fill out the entire form carefully and furnish complete information; failure to do so may result in a processing delay. Please do not use quotation marks in any of your responses. (* indicates a required field)

Applicant Information
  1. -
  2. -
  3. --
  4. Female   Male
  5. Yes   No
  6. Yes   No
    If "yes," you will need to register with Disability Services.
Contact Now Emergency Information
  1.    Check here to confirm
       Check here if you do not have a cell phone
Acknowledgement of Contract
  1.    Student (or parent/guardian if student is under 18) check here to sign this contract
       Name of person signing contract
       In lieu of an actual signature, please provide the name of the city where you were born, to serve as verification
Building and Meal Plan Choices
  1. Residential Building (Pricing includes housing and meal plan costs for two semesters)DoubleSinglePrivate
    Edna Moore (M), Gibson (M), Jarvis House (F - Honors), Myers (F) $7,948 $9,548 $10,754
    Fox (F), Huffman (F - **NOT AVAILABLE SPRING 2015**), Stroup (M) $8,614 $10,380 $11,726
    Azalea (M/F), Bailey Mountain (F), Brown (M), Dogwood (M), Laurel (F), Turner (M) $9,440 $11,464 $12,992

Roommate Matching Questionnaire

  1. Is living with a member of your sport critical to you?