Apartment Interest Form

Starting in the Fall 2022-2023 school year, first preference for apartments will go towards upperclassmen (Junior and Senior students) with a 3.5 GPA with no housing/conduct 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. It does not guarantee that you will receive an apartment. Students should also fill out a housing application to ensure a placement if your appartment application is not selected.

Students will be informed via email whether they have been selected prior to the end of the Spring semester.

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

Student WVSU 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 *

Cumulative Grade Point Average (GPA) *

Apartment Type Preference (Please be reminded a preference is not a guarantee) *

Please list any special needs, requests, and/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 must meet the criteria to reside in the apartments). 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 acknowledge that by applying to reside in the apartments that submission of the application does not guarantee that I will be selected. All assignments are based on the afirementioned criteria, space availability and approval from the Director of Housing and Residence Life.

Signature

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