University of Holy Cross
Housing Application

Fall 2018 - Spring 2019



*Indicates a Required Field


I would like housing for:

Fall 2019 - Spring 2020 Year

Fall 2019 Only

Spring 2020 Only

Application is not valid until the $200 housing fee is submitted to UHC.

 

To see all housing fees, visit:

http://uhcno.edu/housing


I am a (check one): Freshman Sophomore Junior Senior Master's Student Doctoral Student
 
Student ID
Major




Address *
City *
State*
Zip* Apt:

Date of Birth:*

Email:*

Home Phone:* Cell Phone:*

Gender *
Relationship: * Phone Number: *

Physical disabilities, allergies (food, insect, drug), or other medical concerns, if any: *

 

If Under 18 complete parent information

 

Parent's Name:

            State:

I wish to live in a (Please indicate your 1st, 2nd and 3rd choice by numbering the boxes)*

Unit Type Fall/Spring
Private Bedroom & Bath $3,900
2 Bedrooms / 1 Bath Deluxe Suite $3,700
2 Bedrooms / 1 Bath Suite $3,600
4 Bedrooms / 2 Baths Deluxe Suite $3,000

 

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 suite-mates:

 

Meal Plans are mandatory for students living in the residence hall.

I would like to choose Meal Plan (Select one from the options below*):

  Plan A Plan B Plan C
By Semester
Fall $975 $1,200 $1,500
Spring $975 $1,200 $1,500

Student Information:
If you would like assistance finding a roommate, please complete the following:

I prefer to study In silence With some background noise With noise/music  
I like to clean: All the time Often Sometimes Never
I consider myself: Quiet Normal A bit noisy Loud
Smoking: I do not smoke I smoke socially I am a smoker  
Drinking: I do not drink I drink socially I drink regularly.  
I'm a(n): Early Riser Night Owl In-between  
My favorite music is:

 
Please note that by requesting assistance with finding a roommate your name and phone number will be shared with possible candidates during the roommate selection process.
By submitting my electronic 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 Contract to complete my housing application.
Parent signature required, if resident is currently under the age of 18.