Housing Application Form

Housing Application Form

Please complete the form carefully to formally request housing at Felician University.

Personal Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender *
State Gender
Student E-mail*
example@example.com
Personal E-mail*
example@example.com
Student ID Number *
Phone Number*
Please enter a valid phone number.
Student Status*
Academic Level*
Semester Applying for:*
Housing Status*
Permanent Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Information

Please fill out the information below to indicate your emergency contact. This individual will be contacted in the event of an emergency for the university to reach out.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Relationship*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Submit Application

Please review your responses carefully before submitting your application.
I certify that the information provided in this housing application is true and accurate to the best of my knowledge. By signing below, I agree to abide by the guidelines set forth by the Office of Housing and Residence Life.*

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