Registration Form For University Village and Cripe Street Apartments
If you have any questions, please contact University Village Office (574-631-9145)
Student Information
NDID *
(This is your 9 diget number on your ID card)
Your answer
NetID *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student Birthday *
MM/DD/YYYY (Month/Date/Year)
MM
/
DD
/
YYYY
Student Gender *
State/Country of Origin
Please type in your State (for US residents) or Country of Origin (Non US residents) here:
Your answer
Religious Affiliation
Please type in your religious affiliation here:
Your answer
Student Email *
Your answer
Student Cell Phone
Your answer
Student School *
Student Field of Study or Academic Program *
Spouse Information
Spouse NDID
(Only if spouse is a current Notre Dame student)
Your answer
Spouse NetID
Your answer
Spouse First Name
Your answer
Spouse Last Name
Your answer
Spouse Birthday
MM/DD/YYYY (Month/Date/Year)
MM
/
DD
/
YYYY
Spouse Gender
Spouse State/Country of origin
Please type in your spouse's State (for US residents) or Country of Origin (Non US residents) here:
Your answer
Spouse Religious Affiliation
Please type in your spouse's religious affiliation here:
Your answer
Spouse Email
Your answer
Spouse Cell Phone
Your answer
Spouse School
Spouse Field of Study or Academic Program
(Please select only if they are currently a Notre Dame student as well)
Other Contact Information
The Village Complex directory is created each semester and distributed exclusively to Village residents. The University provided landline apartment phone numbers are listed in the directory. If you would like an additional phone number included please note it here:
Add an additional phone number
Your answer
Medical Concerns
Medical Concerns
Medical concerns in your family of which we should be aware:
Your answer
Emergency Contact Information
Name *
Your answer
Relationship to Resident *
Your answer
Address *
Your answer
Home Phone *
Your answer
Business Phone
Your answer
Emergency Cell
Your answer
Vehicle information
Vehicle1-Vehicle Make
Your answer
Vehicle1-Vehicle Model
Your answer
Vehicle 1-Color
Your answer
Vehicle 1-License
Your answer
Vehicle2-Vehicle Make
Your answer
Vehicle2-Vehicle Model
Your answer
Vehicle 2-Color
Your answer
Vehicle 2-License
Your answer
Other Information 1
Do you have children living with you? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms