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Family Housing Application
For married couples and/or families with children
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* Indicates required question
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Student I.D. Number
*
Your answer
Spouse's Name (if applicable)
Your answer
Spouse's Date of Birth
MM
/
DD
/
YYYY
Requested Move in Date
*
MM
/
DD
/
YYYY
Current Address (street, city, state, zip code)
*
Your answer
Email
*
Your answer
Cell Phone
*
Your answer
Cell Phone Provider
*
Your answer
Would you like to receive texts from the Housing Office?
*
yes
no
Do you have children and if so how many do you have?
Your answer
If you do have children what are their ages and are they male or female?
Your answer
Student Status
*
Currently Enrolled
New Student
Previously Enrolled
Degree Program
*
Undergraduate
Graduate
Doctoral
Other:
Is there anything else that you would like us to know?
Your answer
Today's Date
MM
/
DD
/
YYYY
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