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Online Housing Application

Two easy steps to register
If you, a member of your household, or someone associated with you has a disability and believes that you or he/she needs a reasonable accommodation to have equal opportunity to use and enjoy University housing, please complete this form, and return it to the Student Access Center.

You must complete all of the information on the form. If you require assistance in completing this form, contact the Student Access Center for assistance.

NOTE: Completing the request for housing and/or dining accommodations does NOT include requesting academic accommodations which is a seperate process.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  4. Hint: Enter 9 alpha numeric characters.
  5. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Campus Location(s)

Questions

  1.  
    The student who has a disability requiring a reasonable accommodation is: * (Selection is Required)
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