Application for Academic Year 2005-2006 Spring 2006 Term Fall 2005 Term

General Information
Student ID No.
(Student ID is required; applications submitted without a valid ID will not be processed)

Gender Male Female

Status (please choose your status as of January 2006) New Student Transfer Student Returning Student Readmitted Student
New Students: Please do not apply for housing until you have received an acceptance letter from the Office of Admissions.
Returning Students: If you did not attend VUU last semester, please do not apply for housing until you have applied for readmission and received acceptance from the Registrar's Office.

Classification (please choose your classification as of January 2006) Freshman Sophomore Junior Senior

Last Name First Name Middle Initial

Permanent Address
   Street
   City State Zip

Home Phone (please include area code)
Email Address
IMPORTANT Note: Current/Returning Students will be contacted via their VUU email address

School or Major Business Education Theology Humanities Natural Sciences and Mathematics Social Sciences

Request for Special Assignments
Room and hall assignments are made without regard to race, creed or national origin. However, your preferences regarding a specific roommate request, special interest and/or lifestyle will be honored whenever possible. Please mark this form in all areas that you wold like considered when assigning you a hall, room and roommate. Every effort is made to honor as many requests as possible. If you have a roommate preference, both students must indicate this preference on each others' housing application and the applications must be recieved by VUU within a week of each other. Both of you must also make the necessary payments by the deadline.

Lifestyle
Smoker Yes    No
Quiet lifestyle Yes    No
Early to bed Yes    No
Neat, clean room Yes    No

Please assign the folowing person as my roommate:
Be sure this person has also listed you on his/her Request for Special Assignments.)
Full Name Student ID

Hall Preference #1 Hartshorn Huntley MacVicar Newman Storer
Hall Preference #2 Hartshorn Huntley MacVicar Newman Storer
Hall Preference #3 Hartshorn Huntley MacVicar Newman Storer
Specific Hall and Room Preference

     I prefer the following tiype of room: Single Occupancy Double Occupancy Double Occupancy/Suite
     I have been awarded a Presidential Scholarship and want to be placed in honors housing
     I will be a member of an athletic team and request housing with other athletes
             Sport

Special considerations/disabilities
Please explain any medical conditions that we need to be aware of when assigning your room, including special accommodations. You must provide documentation from a healthcare provider to the
    Office of Residence Life
    1500 North Lombardy Street
    Richmond, VA 23220
    Fax (804) 342-3909
Please Note: Information provided to Student Health Services is confidential and is not shared with our office.

Please check here acknowledging that you have read and understand the Virginia Union University Housing Contractual Agreement and agree to the terms and conditions stated therein.

Please reveiw your application carefully. Incomplete applications will not be processed. Please note that you will not recieve a housing assignment until you have paid the $250 Enrollment Fee and the $1,950 First Installment.