HOUSING LOTTERY FORM

  • What will be your grade classification?
  • Please indicate your housing preferences below by listing the residence hall or apartment, room number, and preferred roommates in order from 1-3 in priority if you are requesting a space in the apartments. If you request an apartment and do not have roommate options, we will house you with who is available.

  • Choice 1

  • Choice 2

  • Choice 3

  • By typing your name below, you acknowledge that this form is a preference request, and you may not be placed in your first choice. We will honor preference as we can and based on the priority list from Pioneer Planning.
  • Serves as your signature