Information Request Form

Name:

Shocker ID:

Address (line 1):

Address (line 2):

City:

State:

Zip:

Country:

Email:

Please choose one of the options to make this form valid.

Semester:

Summer 2013

Fall 2013

Spring 2014

I am a:

Freshman

Upperclassman

I am:

Under 21 years of age

Over 21 years of age

I would like information on:

Fairmount Towers

Brennan Hall

Wheatshocker Apartments*

Rates

Application and Contract

Freshman Exemption Form

* Must have sophomore status (30 credit hours), be a transfer student with sophomore status (24 credit hours after high school graduation), have lived in Fairmount Towers for 2 semesters, or be over the age of 21.