Single Room Request

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Single Room Request

Email *

Name (first and last name) *

Phone *

Student ID Number *

Classification *

Freshman

Sophomore

Current Housing Assignment (if applicable)

Housing Preference *

Choctaw Hall Single Room with 18 Meals Per Week ($3,495 per semester)

Choctaw Hall Single Room with 15 Meals Per Week ($3,240 per semester)

Johnston Hall Single Room with 18 Meals Per Week ($3,495 per semester)

Johnston Hall Single Room with 15 Meals Per Week ($3,240 per semester)

By completing this form, I understand that if I am granted a single room, I will be billed for my single occupancy room at the rate listed above. I understand the additional fees will be assessed to my student account.

(Type your full name below to sign.)

A copy of your responses will be emailed to the address you provided.

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