ALL APPLICANTS:

Contact Phone:

I would prefer a shared bedroom apartment:  Yes    No

I am a smoker:   Yes    No

FURMAN APPLICANTS (please provide additional information)

Furman ID#:
* Incoming freshman, just skip this field because you do not have an ID# yet

2009 Spring Assignment:

2009 Fall Assignment:

NON-FURMAN APPLICANTS (you MUST provide additional information)

Mailing Address: 

Contact Phone:

PLEASE COMPLETE EACH SECTION BELOW:

SECTION ONE:

I plan to live in campus housing according to the dates below:

Start Date  (ex: 6/7/09)
End Date  (ex: 8/15/09)

SECTION TWO (only if you need Interim Housing):

 I do NOT need interim housing between May 31-June 6.

 I plan to live in my current assignment (only in A, B, or C) during May X and for the summer and wish to pay for the interim period of May 31-June 6.

 I will be on campus for May X, but do not currently live in A, B, or C.  Thus, I will move to my summer assignment on May 20-26 and wish to pay for the interim period of May 31-June 6.

SECTION THREE:

 My housing costs should be added to my Furman account.

 My housing costs will be covered by the following campus department:

Name of Department:

Contact Person:

SECTION FOUR:

Specific building preference: No SelectionBuilding ABuilding BBuilding C Apartment # (if known): No Selection101102103104105106107108201202203204205206207208301302303304305306307308

Please explain if there is a specific reason you are requesting this apartment:

My roommate preferences are (you may leave one or more blank):

Roommate #1:

Roommate #2:

Roommate #3: