Housing and Residence Life
UHC Housing Application
Christin Hebert Director of University Housing and Residence Life Call: 504-398-2126 Email: reslife@uhcno.edu
*Indicates a Required Field
To see all housing fees, visit:
http://uhcno.edu/housing
*I am a (check one): Freshman Sophomore Senior Master's Student Doctoral Student
Student ID*
Major* (If undecided, please indicate)
First Name *
Last Name *
Name of Referral: (if applicable)
Address *
City *
State*
Zip*
Apt:
Date of Birth:*
- Month - January February March April May June July August September October November December - Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year - 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947
Email:*
Home Phone:*
Cell Phone:*
Gender :*
Gender Female Male Other Emergency Contact (Name): *
Relationship: *
Phone Number: *
Physical disabilities, allergies (food, insect, drug), or other medical concerns, if any: *
If Under 18 Complete Parent Information
Parent's Name:
Parent's Address:
City:
State:
Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Disdivict Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:
I wish to live in a (Please indicate your 1st, 2nd and 3rd choice by numbering the boxes)*
If you know who you would like to have as your roommate/suite-mate, please indicate below.
I would like to have the following as my roommate:
I would like to have the following as my suite-mates:
Meal Plans are flexible for all students who live on campus. All full-time students, both residents and non-residents, are required to purchase $150 in Bayou Bucks to be used towards their meal plan. More funds can be added to your meal plan at any time through the Bursar’s office. The unused funds will roll from the Fall Semester to the Spring Semester, but unused funds by the end of the Spring Semester will not be refunded.
Student Information:
If you would like assistance finding a roommate, please complete the following:
I prefer to study:
I like to clean:
I consider myself:
Smoking:
Drinking:
I'm a(n):
My favorite music is:
By submitting my elecdivonic signature, I acknowledge that I am requesting a room for the semester chosen. I will be billed a $200 non-refundable application fee upon submission of this housing application. This fee must be paid even should I decided not to reside in the University of Holy Cross Residence Hall. This fee is not refundable. I must sign the UHC Housing Condivact to complete my housing application.
Parent signature required, if resident is currently under the age of 18.
Non-UHC Residents Only
All non-UHC student residents must submit their housing application and $200 housing application fee using the “submit and pay” button located above. All non-UHC housing applicants will then be redirected to paypal where they can submit their $200 housing application fee.
NOTE: After you click the “Submit and Pay” button, you will be redirected to the UHC Self Service login page. Use your UHC Email Address and Password to login. To access the payment portal, click "Make a Payment / 1098T." See image listed below:
What’s needed to validate your account the first time you log in?
Contact your admissions counselor if you have not received your ID number.