University of Holy Cross
Housing Application

Fall 2019 - Spring 2020

*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:

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

Address *
City *
Zip* Apt:

Date of Birth:*


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:


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 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 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.