CUMC Residence Form
This is the form you need to fill out if you plan on staying in a residence building
Name/Nom *
Your answer
Sex/Sexe *
What university do you attend?/Quelle est votre Université? *
Your answer
What's your email address?/Votre addresse courriel? *
Your answer
What city are you departing from?/La ville d'où vous partez? *
Your answer
What nights do you plan to stay in the residence? (Please check all nights you plan on staying) /Quelle nuit(s) comptez vous restez (cochez toutes les nuits vous planifier rester s.v.p.): *
What is your arrival time and date (if known)?/La date et l'heure de votre arrivée (si vous la connaissez)?
Your answer
Do you have someone you would like to share a unit with? If yes, please put their name, if not, please put N/A / Planifiez vous partager une chambre? Si oui, mettez leur nom. Sinon, mettez N/A *
Your answer
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