Application for Housing

Instructions

1. All information must be completed for us to process your application.
2. The application fee is $25.00. Please submit the application fee to the Residential Life Office. Application will not be processed without application fee.

Personal Data:

Date
Name
Address (City, State, Zip)
Home Phone
Alternate Phone
Email Address
Birth Date
Gender?	Male Female Transgender/Transsexual
Have you ever lived with us before?	Yes No

Emergency Information:

Parent/Guardian
Address (City, State, Zip)
Phone
Emergency Contact (other than parent/guardian)

University Standing:

Student Status	New	Current	Transfer
Class	Freshman	Sophomore	Junior	Senior

UMSL Student ID Number
If not a UMSL student what school will you be attending	(will be required to provide proof of enrollment each semester)

Room Preference:

List choices 1, 2, 3 in order of preference in the boxes

Room Type	Semester	9 Months*
4-Bedroom Suite (double occupancy)	n/a	$4,490
4-Bedroom Suite (single occupancy)	$2,805	$5,610
Standard Single Room**	$2,605	$5,210

*12 month rates available, please ask at the time of contract signing.
**Denotes rooms that are only available to students who are 21 and older. Other room layouts (and related costs) are available and all rooms are located in the Villa. PLEASE REQUEST A LIST OF OTHER VILLA OPTIONS BY CALLING 314-516-6877.

Placement Information:
Please take a moment, if you selected to stay in our suite style rooms, and tell us who you would like to room with. Please note we can not guarantee your request, but we will do our best to accomodate you.

Theme Housing Information:
Are you interested in living in a particular themed environment? The following are the themed communities that will be offered for the 2008-2009 Academic Year.

First Year Experience-All incoming freshmen will be placed in this community. Its a great way to meet other students starting college for the first time!

	Health and Sciences
	Advocacy & Diversity
	Business and Administration

We will attempt to honor all requests, but cannot guarantee any preferences. NOTE: You do have the option of alternative housing with the University Meadows. Please check the box below to acknowledge that you prefer to reside with UMSL Residential Life.

I hereby acknowledge that I was informed by UMSL of the option to reside at the University Meadows Apartments, but choose to reside with UMSL Residential Life.

Contract Length:

Please select only one

	Semester (Fall or Winter/Spring)
	Academic Year (August to May)
	Summer Only

What year is this for?

Meal Plan:

The University requires that all students living in the Residence Halls purchase a meal plan. Please select one of the two options below.

	Option 1- 7 meals per week. Includes a declining balance between $250 and $450 chosen when signing your contract.

	Option 2- 10 meals per week. Includes a declining balance between $250 and $450 chosen when signing your contract.

	Option 3- 14 meals per week. Includes a declining balance between $250 and $450 chosen when signing your contract.

	OPTOMETRY RESIDENT MEAL PLAN

Any funds that are not used of the declining balance portion of the meal plan will roll over from Fall semester to Winter semester, but not from one Academic Year to the next. There are no refunds on unused portions of the meal plan.