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HOUSING AND RESIDENCE LIFE

Information Request Form

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This form should be used to request information on buildings and room rates, and to receive a copy of the Freshman Exemption form through the mail.


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:

Fall 2014

Spring 2015

Summer 2015

I am a:

Freshman

Upperclassman

I am:

Under 21 years of age

Over 21 years of age


I would like information on:

Fairmount Towers

Shocker Hall

Rates

Application and Contract

Freshmen Exemption Form