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

***If you are engaged, and you would like to apply for on-campus apartments, please fill out our married housing application as well, which you can find on our Apply Now page.

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.

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?*

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

Do you have any special housing needs?*

No
Yes

Please explain your special housing needs.*

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.

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):

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Southern Seminary Residence Halls Application

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