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Housing Reservation

It is crucial that we have a working e-mail address at all times, as the Housing Office will conduct all communication via your e-mail address. Before the Housing Office will forward a housing contract to you, the Admissions Office must receive your first seat deposit.

Prefix:
First Name:
Last Name:
Start Term:	Summer Fall
Current Address:

Current City:
Current State:
Current Zip:
Current Phone Number:
Cell Phone Number:
Current Email Address:
Other Email Address:
Type of Housing Desired:
(Please indicate your first, second, and third preferences.)
Preference 1:
Preference 2:
Preference 3:

If you are assigned a placement in Plumwood Terrace, do you want to reserve parking ($25/month)?	Yes No

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