New Students Reservation

Personal Data*

First Name Middle Last Name

Date of Birth*

Permanent Address*

Complete Address

Mobile Number*

Email Address*

Please select your academic level*

Major*

Select your arrival semester

Parent or Guardian Contact Information

Contact Name*

Mobile Number*

Email*

Secondary Contact

Contact Name*

Mobile Number*

Email*

Who should receive official correspondence?

Emergency Contact

Contact Name*

Relationship to you*

Mobile Number*

Email*

Secondary Contact

Contact Name*

Relationship to you*

Mobile Number*

Email*

Background Details

Will you be participating in extracurricular activities such as team sports, music groups or student government? If so please specify below.*

Background Details

Which floor would you like to live on?*

(Freshman live on first floor only)

Room Preference*

(Freshman are eligible for double occupancy only)

Do you have a preference for a roommate? If yes, please provide the name below*

Room Selection

Roommate Name*

Roommate Mobile Number*

Roommate Email Address*

I consider myself*

How social are you?*

I clean/organize my room:*

I listen to the radio or watch TV:*

How often do you study:*

Do you need quiet to sleep, study or relax?*

My roommate should*

What type of music do you mostly listen to?*

What items do you plan to bring with you? List the items in the box below.*

I like the room temperature to be*

I’m a*

Are you willing to abide by ALL Resident Hall and University rules and guidelines, such as curfew, bathroom cleanliness and alcohol & drug policies?*

Is this your first time living in a Residence Hall?*

Have you submitted your $150 room deposit?*

(Payment required to secure your room reservation)

I anticipate that my class load will be:*

Have you been financially cleared?

Halcyon Hall - New Students Reservation

Parent or Guardian Contact Information

Secondary Contact

Who should receive official correspondence?

Emergency Contact

Secondary Contact

Background Details

Room Selection