Apartment Interest Form

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 may or may not be approved for an apartment, or be required to move out of a space due to student conduct issues within the residence halls.

Once an individual is approved, when space becomes available they will be called, and or, e-mailed to see if you are still interested.

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 *

Date Date Picker Icon

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. I also understand that if granted, I will need to pay the security deposit in full ($300), will receive and sign a lease that is for the agreed upon time frame (Academic Year, and or, Summer months).

Signature

Clear