2016-2017 Housing Application (website link)

2016-2017 Housing Application

Huntingdon College- Office of Residence Life
For assitance with this form, or question pertaining to this form, please contact the Office of Residence Life at 334-833-4349
FemaleMale
Date of Birth*
Last Name*
First Name*
Middle Name*
Preferred Name*
Cell Phone*
E-mail*
Cumulative Hours Taken*
Campus Mailbox
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Parent/Guardian*

First NameLast Name
Spring 2015 Housing Assignment*
(Ex: Blount 213-A)
Term Applying for Housing*
YesNoNo Preference
First Choice Preferred Bldg*
Second Choice Preferred Bldg*
Third Choice Preferred Bldg*
Fourth Choice Preferred Bldg
Fifth Choice Preferred Bldg*
Preferred Roommate (If None, Write "NA"*
#1 Preferred Suite/Clustermate
#2 Preferred Suite/Clustermate
#3 Preferred Suite/Clustermate
#4 Preferred Suite/Clustermate
Preferred RoommatePreferred BuildingOther
YES
Any other relevant information for the the Residence Life staff to know regarding your housing application and preferences?*

If none, write "NA"0/250
By signing this contract and submitting my electronic signature, I acknowledge that I have read the terms and conditions listed in the License Contract, and I certify that I agree to abide by the terms and conditions therein. Full terms and conditions may be read here: http://www.huntingdon.edu/future-students/admitted-students/enrollment-forms-and-information/campus-residency-license-contract/.
Electronic Signature

First NameLast Name
Should be Empty: