Abroad/Medical Returning Students Fall 2009

Room and Board Application


 This application is for space assigned through the Office of Residential Life at Washington University in St. Louis.
 By submitting the form you agree to abide by the rules and regulations stated in the Terms and Conditions
 which accompany this website.

All prices for Room and Board are reported for the entire academic year. Your student account will only be billed for the semester(s) that you live with us.


 STUDENT NAME AND INFORMATION:

 Last Name:
 First Name:
 Middle Initial:
 WUID#:
 Birth Date:
  Birthdate Format MM/DD/YYYY
 Gender:  
 Home Phone:
 Cellular Phone:
 Fax:
 Email Address:
 Permanent Address:
 City:
 Postal Code:
 Country:

 STUDENT STATUS:

 Returning From:  
 Class:  

 MEAL PLAN:

 A meal plan is required by all students. See section 9 of the Terms and Conditions for details
 on point disbursal.
 Meal Plan:  
 Please review Dining Services for additional information regarding our meal plans.

 ROOM ASSIGNMENTS:
 Students will be assigned to their ranked choices on a space available basis.
 We will work diligently to take your
 preferences into consideration however we cannot guarantee that we will be able to match you
 into your top choices.
Additional comments or specific rooming request:
 ASSIGNMENT LOCATION:
 Please rank these option in order of your preference. You must rank each option:
   
   
   
   
 ON CAMPUS HOUSING PREFERENCES:
 Please rank these option in order of your preference. You must rank each option:
   
   
   
   
   
   
 OFF CAMPUS HOUSING PREFERENCES:
 Please rank these option in order of your preference. You must rank each option:
   
   
   
   

 HOUSING ACCOMMODATION:

 Student Health Services must be notified of any medical concerns that may affect your housing assignment.
 Please submit all requests to:
 Director of Student Health Services, Campus Box 1201,One Brookings Drive, St. Louis, MO 63130-4899.
 Are you submitting a request to Health Services that could affect your assignment?.
Yes No

 SMOKING:

 All University buildings, including the residence halls are smoke free.
 Students who smoke must do so outside their building
 in a designated smoking area.
I am okay living with someone who smokes
I would prefer NOT to live with someone who smokes.

 There is a registration fee required for all housing applications. Check the appropriate item below:

I have placed my $450.00 Advance Reservation Fee in the mail to:
The Office of Residential Life
Campus Box 1250, 6515 Wydown Blvd.
St. Louis, MO  63105-2298
Make checks payable in U.S.D. to “Washington University”
Bank Wire Transfer:                  
Wire money transfer to Bank of America. Please see the back of your bill
or contact Student Accounting for wiring instructions. Also, refer to Policies for wire limitations.
I receive need-based financial aid and/or scholarships.
Student Account will be billed.
(Advance Reservation Fee will be placed on your student account)
My parents currently participate in the Cost Stabilization Plan.

 Questions? Residential Life Contact Information

 By submitting this application you are agreeing abide by the Terms and Conditions
 of Residential Life Housing
.

 Enter Confirmation Code:   
     
© 2009 WU Housing Selection Website