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Housing Application

Department Information

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Stillman College Housing Application

Please complete this form and mail the required $200.00 housing reservation fee. Students planning to live in Roulhac Residence Hall must send a $300.00 housing reservation fee. Cashier checks or money orders should be made payable to Stillman College and should include name and social security number as the subject.

Instructions:

NOTE: Hall assignments are subject to change at the discretion of the Director and are not final or complete until the total housing reservation fee has been paid. If you do not pay with a credit card, you may pay with a money order or a cashier’s check. NO personal checks will be accepted.

ROOM RESERVATION FEES ARE NON-REFUNDABLE.
ROOMS ARE SUBJECT TO AVAILABILITY.

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Semester Entering

*

Student Details

*
Gender
Home Address*

Classification

Select Classification Below*
Room Type Requested
Residence Hall Requested Males
Residence Hall Requested - Females
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University Downs
(required only if applicant is not 19 years of age)

Declaration

I hereby declare that the information supplied on the application is true and correct to the best of my knowledge, and I will notify the Office of Admissions immediately of any changes or additions to the information provided. I understand that any omission, falsification, or misrepresentations of the information provided may result in the denial of admission or dismissal from campus housing.
(Enter first and last name)

Are you part of any of the following sports or organizations?

Baseball
Basketball
Cheerleader
Cross Country
Dance
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Football
Softball
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Tennis
Track
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Volleyball
Blue Pride Marching Band
Stillman College Choir

I am: (check all that apply)

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