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Fall Off Campus Housing Questionnaire

Off Campus Housing Application--Fall 2019 start

Please remember that you are eligible to fill out this form only if meet one or more of the following qualifications: 1. You are planning to live with relatives 2. You are married 3. You are over 23 years old 4. You will be a part-time student (Less than 12 credits)

1. Access the Off Campus Fire Safety Training course by copying and pasting the following link into your browser: http://bit.ly/2k0zIB5. Please note that completion of the course and a 100% score on the quiz are required before your application will be considered.

I have completed the Off Campus Fire Safety Training course

2. First Name:

3. Last Name:

4. Preferred first name

5. Preferred email address

6. Cell Phone

7. Age

8. Gender

Male
Female

9. Student Status

Freshman
Transfer
Consortium Visitor

10. Please choose all that apply to you

I plan to live at home with my parents
I plan to live with other relatives
I will be a part-time student.
I am married.
I am over 23 years old.

11. If you chose the "Other relatives" option in the previous question, please list the names of those relatives, and their relation to you. Write N/A if this does not apply to you.

12. Please provide a phone number for the relatives with whom you will be living. Write N/A if this question does not apply to you.

13. What is the address where you plan to live?