Southern Seminary Residence Halls Application

Full Name of Applicant*

What is your birthdate?*

Age restrictions apply. Please contact Student Housing with questions.

What is your gender?*

Male
Female

What is your marital status?*

Single
Engaged

Please contact Student Housing if your marital status changes.

In which school will you be enrolled?*

Boyce College (Undergraduate)
Southern Seminary (Graduate)

What is the full name of your fiance/fiancee?*

When do you plan to be married?*

If date is not known, please give an approximate date.

Residence halls are specifically designated for single students, but graduate-level singles may apply for 1-bedroom apartments on campus as the sole tenant. Do you wish to apply for residence halls only or residence halls and apartments?*

I wish to apply for residence halls only.
I wish to apply for both residence halls and apartments.

*Applicants who will be 45 years of age or older by the start of the semester for which they are applying will only be considered for apartment housing.

What is your current address?*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your email address?*

What is your phone number?*

Do you have any special housing needs?*

No
Yes

Please explain your special housing needs.*

Please select your first apartment preference.*

Please select your second apartment preference.*

Please select your third apartment preference.*

Would you prefer a single-occupancy or multiple-occupancy room?*

Single-Occupancy
Multiple-Occupancy (Discounts may apply.)
No Preference

Student Housing will attempt to honor the preferences of applicants

Do you have a preferred roommate/suitemate?*

No
Yes

What is the full name of your preferred roommate/suitemate?*

Which of these preferences is most important to you?*

This information will be used to pair roommates if applicable.

Which of these preferences is second most important to you?*

This information will be used to pair roommates if applicable.

Which of these preferences is third most important to you?*

This information will be used to pair roommates if applicable.

When do you plan to begin on-campus studies?*

When do you need on-campus housing?*

New dorm residents may move in at Fall Move-in Day or Spring Move-in Day. Apartment residents are eligible to live on-campus up to 3 months prior to the beginning of their studies.

Have you ever been convicted of any crime or are there any criminal charges pending against you?*

Yes
No

Please further explain your criminal conviction. Please include the date and nature of your crime and conviction.*

Have you ever been included in a sexual offender registry in any state or country?*

Yes
No

Please give the state(s) or countries in which you were named as a sexual offender.*

Additional Comments (Not Required):