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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


9. Student Status

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?