University of Holy Cross Housing Application
Please complete all required fields before submitting
Name
*
First Name
Last Name
Date of birth:
*
-
Month
-
Day
Year
Date
Personal Email Address (Do not use any school email address)
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender:
*
Please Select
Male
Female
Other
Major:
*
UHC Student ID Number:
*
Emergency Contact Name
*
First Name
Last Name
Emergency Phone Number:
*
Please enter a valid phone number.
Emergency Contact Relation:
*
Parent Full Name:
*
First Name
Last Name
Parent Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I am a:
*
New Resident
Returning Resident
If a returning resident, please indicate the last semester you stayed in the Residence Hall:
I would like housing for:
*
Summer 2024
Fall 2024 and Spring 2025
Fall 2024 ONLY
Spring 2025 ONLY
Please indicate the first housing option you would like:
*
Unit A: 1 Bed/1 Bath, $3900/semester
Unit B: 2 Bed/ 1 Bath Deluxe, $3700/semester
Unit C: 2 Bed/ 1 Bath, $3600/semester
Unit D: 4 Bed/2 Bath, $3000/semester
Please indicate the second housing option you would like:
*
Unit A: 1 Bed/1 Bath, $3900/semester
Unit B: 2 Bed/ 1 Bath Deluxe, $3700/semester
Unit C: 2 Bed/ 1 Bath, $3600/semester
Unit D: 4 Bed/2 Bath, $3000/semester
Please indicate the third housing option you would like:
*
Unit A: 1 Bed/1 Bath, $3900/semester
Unit B: 2 Bed/1 Bath Deluxe, $3700/semester
Unit C: 2 Bed/1 Bath, $3600/semester
Unit D: 4 Bed/2 Bath, $3000/semester
If you have a roommate or roommates picked out already, please list their name(s)here:
Student Information
Please select from the multiple choice below.
I prefer to study:
*
In silence
Some background noise
With noise/music
I like to clean:
*
All the time
Often
Sometimes
Never
I consider myself:
*
Introverted
Extroverted
In-between
Smoking:
*
I am a smoker
I am not a smoker
I socially smoke
Drinking:
*
I drink
I do not drink
I socially drink
I am a(n):
*
Early Riser
Night Owl
In-Between
My Favorite Music is:
*
*Please Note*:
Submission of this application does not guarantee you a reserved room in the University of Holy Cross Residence Hall. Applications are not considered valid until a $200 New Resident application fee has been paid. Returning residents who have continuously lived in the Residence Hall do not need to pay the application fee. Applications are considered on a first come, first serve basis as defined in the University of Holy Cross Housing Contract.
Housing Contract (This contract is applicable to all of the above dates):
Parental Signature:
Required if student is currently under 18 years of age.
Student Signature:
*
By submitting my electronic signature, I acknowledge that I have read this application in its entirety and understand that my application is only valid after the submission of my non-refundable $200 application fee and signed contract. I also agree to the terms and conditions of the University of Holy Cross Housing Contract.
Submit
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