International Student Housing Agreement
This form is the first step for accepted international students to get on campus housing
First Name
Your answer
Last Name
Your answer
E-mail Adress
Your answer
Student V# (ex V00123456) (if you do not have one put N/A)
Your answer
Student eID (if you do not have one put N/A)
Your answer
What VCU Program Are You Participating In?
By completing this page, you are agreeing to the 2016-17 Housing Contract. Please click on the link below and read through the terms and conditions carefully.
For the Virginia Commonwealth University Residential Life and Housing 2016-17 VCU Residential Life and Housing TERMS AND CONDITIONS click here - http://goo.gl/6zUDAJ

By electronically signing this contract, occupying a university residential facility or initiating the room check-in process, I agree to the Terms and Conditions of the 2016-17 VCU Housing Contract.

I have read and agree to the 2016 - 2017 VCU Residential Life and Housing TERMS and CONDITIONS
Emergency Contact Information
Please list the contact information for the person you would like to be contacted in an emergency
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact E-mail address (if available)
Your answer
Emergency Contact Relationship
Missing Persons Information
We offer each student the opportunity to provide missing person contact information. Providing this information is optional. This information is confidential, accessible to authorized campus officials and only disclosed to law enforcement personnel in furtherance of a missing persons investigation.
Contact Name
Your answer
Contact Phone Number
Your answer
Contact E-mail (if available)
Your answer
Contact Relationship
Next Step
Now that you have provided us with this information, and if you have agreed to the terms and conditions, you will receive your room assignment.

If you have any questions please feel free to e-mail us at pohaney@vcu.edu

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