Application 2027-2028

Scottish Rite Dormitory Application Form 2027-2028
We are so glad you have chosen to apply to Scottish Rite Dormitory during your college career! There are two steps to apply for housing at SRD.

STEP 1: APPLICATION PROCEDURE

1) Fill out the online application form
2) Mail the $250 non-refundable Administration Fee and Color Photo to:

Scottish Rite Dormitory

210 W. 27th St.

Austin, TX. 78705

*Please note ONLY checks or money orders accepted*

Completion of the application form and receipt of deposit will add each applicant to our database to complete the Application Procedure. Your housing space is not guaranteed until SRD receives your fully executed contract and payment fee (please read contract procedure below). You will receive e-mail confirmation when your Application is complete.

STEP 2: CONTRACT PROCEDURE

a) A contract package will be e-mailed to each applicant early February for the year you apply.
b) Download the contract package, read, sign, and return to SRD with a $1000 contract pre-payment.
c) You will receive e-mail confirmation when your contract package and pre-payment have been received and accepted.

At this point in time your housing space is guaranteed. Contracts and pre-payments will be accepted on a first come-first serve basis. If the number of contracts received exceeds the number of rooms available, the excess contracts will be put on a wait list in order of date received. You will be notified of your wait list status and all payments will be held until a room becomes available unless you notify us in writing that you request a refund and wish to terminate your wait list status.

Applicant's Information
Applicant's First Name*
Applicant's Last Name*
Applicant's Middle Name*
Applicant's Preferred Name
Applicant's Date of Birth*

MonthDayYear
Date
Applicant's Home Address*
Applicant's Apt/Suite
Applicant's City*
Applicant's State*
Applicant's Zip Code*
Applicant's E-mail*
Applicant's Home Phone*
Applicant's Cell Phone*

Payment Information
Guarantor's Title*

Mr.Ms.Mrs.Mr. and Mrs.
Guarantor's First Name*
Guarantor's Last Name*
Guarantor's Address*
Guarantor's Apt/Suite
Guarantor's City*
Guarantor's State*
Guarantor's Zip Code*
Guarantor's E-mail*
Guarantor's Home Phone*
Guarantor's Cell Phone
Guarantor's Business Phone

First Parent's Information
1st Parent's First Name*
1st Parent's Last Name*
1st Parent's E-mail*
1st Parent's Home Phone
1st Parent's Cell Phone*
1st Parent's Business Phone
1st Parent's Occupation*
1st Parent's Address is*

Same as my addressDifferent than my address
1st Parent's Address*
1st Parent's Apt/Suite
1st Parent's City*
1st Parent's State*
1st Parent's Zip Code*

Second Parent's Information
2nd Parent's First Name*
2nd Parent's Last Name*
2nd Parent's E-mail*
2nd Parent's Home Phone
2nd Parent's Cell Phone*
2nd Parent's Business Phone
2nd Parent's Occupation*
2nd Parent's Address is*

Same as my addressDifferent than my address
2nd Parent's Address*
2nd Parent's Apt/Suite
2nd Parent's City*
2nd Parent's State*
2nd Parent's Zip Code*

What semester are you applying for?*

Fall and SpringSpring
Specify the year you're applying for:*

2027-2028
University classification for application year:*

FreshmanSophomoreJuniorSenior

Room Preference
1st Choice*
2nd Choice*
3rd Choice*
4th Choice*
Rooms are assigned based on the original date of application

What high school did you go to?
What year did you graduate high school?
What will your major be?
What is your religious affiliation?

How did you hear about SRD?

I took a tourI have relatives who lived hereI have friends who lived hereInternetOther
Describe your relationship and dates of residency

Masonic Sponsorship
Do you need assistance with Masonic sponsorship?*

No, I have a sponsorYes, I will need assistance with sponsorship
Name of Masonic Sponsor*
Relationship to Applicant*

FatherGrandfatherGreat-GrandfatherBrotherUncleNon-FamilyOther
Member of Lodge #*
Located in the city of*
Should be Empty: