Apartment Interest Form

Apartment Interest Form

Housing and Residence Life
Starting in the Fall 2019-20 school year, first preference for apartments will go towards upperclassmen (Junior and Senior students) with a 3.5 GPA with no violations within the last year. By filling out this form you are expressing interest in living in an apartment space located in Keith Scholars Hall. On-campus housing is a privilege, not a guarantee.

Students will be informed by phone or email if they are approved. Please be reminded that you may be removed if there are constant conduct issues.
Student ID A Number *
Ex: A0000000
What are you interested in? *
Full Name *

First Name Middle Name Last Name
Current Student Classification *
Date of Birth *

Month Day Year
Date
Student E-mail *
example@wvstateu.edu
Cell Phone Number *

Area Code Phone Number
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Gender *
Program of Study at WVSU (Major) *
Ex: Criminal Justice
Apartment Type *
Please list any special needs, request, or preferences you wish to have considered in assigning an apartment. If you have none please type "N/A" below: *
Roommate preference & their A number - Preferences ARE NOT Guarantees (Please note that the preferred student must have submitted an Apartment Interest Form and and have listed you on their form). Put "N/A" if you do not have a one. *
If your preferred roommate is not assigned an apartment, do you want to still be considered for an apartment? *
Release Statement: By signing below I confirm that all the information is accurate and true. I understand on-campus housing is a privilege, not a guarantee, and all assignments are based on space availability and approval from the Director of Housing and Residence Life.
Signature

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