Housing Selection Proxy Form: 2013 - 2014

You should complete this Housing Selection Proxy Form only if you are unable to attend Housing Selection during your designated date/time. By completing this survey, you can authorize another person (i.e., a proxy) to choose your room for the 2013 - 2014 academic year. Your proxy should be an individual whom you trust, and he/she must be available at your designated Housing Selection date/time. It is your responsibility to ensure that your proxy attends Housing Selection on your behalf during your designated date and time.
* Required

Never submit passwords through Google Forms.