student experience | campus housing | Residential Life Questionnaire

You will receive a Residential Life Assignment and Contract in the mail. Please do not fill out and/or submit any portion of this online form until you have reviewed the paper form.  After reviewing the form, fill out the appropriate steps below to confirm or make any necessary changes. If you have any questions or are unsure how to fill out this online form, please contact Ronda at NNU Student Development (208.467.8643). Once the form is completed, hit the SUBMIT button. There is no need to return the paper form to NNU in the mail.
FORM CONFIRMATION MUST BE SUBMITTED BY JULY 15, 2007.

	STEP ONE: Please fill out all personal information ID#: GENDER: MALE FEMALE NAME: PERMANENT ADDRESS: LANDLINE PHONE: CELL PHONE: EMERGENCY CONTACT PERSON: RELATION: PHONE: STEP TWO: Please check one of the following: I have NO corrections/changes needed on my Residential Life Assignment & Contract I have corrections/changes needed on my Residential Life Assignment & Contract STEP THREE: If you selected "NO corrections/changes," you may proceed to STEP FIVE at the bottom of this form, enter your initials in the electronic signature box, and hit the "SUBMIT" button. If there are corrections/changes to be made, please proceed to STEP FOUR. ONLY fill out those items that require corrections/changes, leave everything else blank. STEP FOUR: Please fill out only those sections that require corrections/changes. CAMPUS INFORMATION: NNU PO BOX#: PHONE: DORM: ROOM: MEAL PLAN: Platinum (Unlimited entries, plus $50 Flex) Gold (19 entries per week, plus $50 Flex) Silver (12 entries per week, plus $75 Flex) Bronze (120 meals/entries per semester, plus $65 flex) Copper (70 meals/entries per semester, plus $50 Flex) NOTE: FRESHMEN ARE REQUIRED TO TAKE A PLATINUM MEAL PLAN FOR 1ST SEMESTER HOUSING STATUS On-Campus Housing Off-Campus Housing (I have been approved for current year) Off-Campus (I need to apply for approval) Living w/parents/relative/host family (prior approval required) Married Over 25 years old NOTE: Married students and those over 25 do not need to apply to live off campus. If you are planning on living off-campus and have not yet done so please provide the following: LOCAL OFF-CAMPUS ADDRESS: LOCAL OFF-CAMPUS PHONE: NOTE: Off-campus Address and Phone must be provided PLEASE INDICATE ONE OF THE FOLLOWING TO INFORM US OF YOUR MOST CURRENT PLANS I will be attending NNU this Fall and need to apply for housing, please send me the necessary applications forms I plan to live off-campus (prior approval required) while attending NNU for the Fall I plan to live off-campus (prior approval required) while attending NNU for Spring I plan to live off-campus (prior approval required) while attending NNU for both semesters I will not be able to attend NNU for Fall I will not be able to attend NNU for Spring Other (please explain below) "Other" explanation: STEP FIVE: ELECTRONIC SIGNATURE: This signature is required for any forms to be processed. No corrections/changes/confirmations will be made without a signature. Place your initials in the box:

_________________________________
Sponsored by Northwest Nazarene University - Office of Residential Life.
Copyright © 2004-2007 [Northwest Nazarene University]. All rights reserved.
Revised: 06/07/07