2013 Fall Semester Undergraduate Housing Waitlist Application

Student Information
First Name:
Middle Name:
Last Name:
Birth Month:		Birth Year:
Gender:	Male	Female
Permanent Mailing Address
Street 1:
Street 2:
City:
State:
Zip:
Home Phone:
Mobile Phone:
Email:
Alt. Email:
Student Status (select only one)
	Medical Re-Admit - withdrew through UNH Health Services
	Transfering from another school
Where are you transfering from?
Number of semesters lived on campus at transferring institution
	Readmitted to UNH for Fall 2013
	I currently live off-campus
	Other: (exchange, missed application/deposit deadlines)
If other, please explain:
Housing Preferences (select as many as apply)
	I'm interested in the residence halls
	I'm interested in living in on-campus apartments
	I would like to be considered for a co-ed apartment or suite should it become available.
	I am 21 yrs of age or older and would like to be considered for Babcock Hall.
I acknowledge that I am legally and financially bound, upon acceptance of an offer of housing, to the terms and conditions of the University of New Hampshire Room and Board Agreement for the 2013/2014 academic year. The Room and Board Agreement is available online.