Residential Status Agreement

Personal Information

Emergency Contact Information

Church Information

Student Information

Residential Information

NOTE: Community living in our residence halls is designed for the traditional-aged undergraduate student. Graduate students and those students over the age of 25 will only be allowed to live in the dorm if space is available and approved by the Housing Exception Committee.

I plan to live in NNU campus housing*
NOTE: Off-campus housing requires an application which will be sent after the $250.00 deposit is received

Residential Preferences

I prefer a single room if available ($825 additional per semester)*
Would you like to be considered in being matched with an international student as a roommate*

Additional Personal Information

What types of music do you listen to?
How would you rank your personality? 1 is introvert, 10 is extrovert*
How clean do you keep your room? 1 is pig pen, 10 is surgical table*
Are you a late night or an early morning person? 1 is night owl, 10 is early bird*
What is your organizational style? 1 is structured, 10 is laid back*
How do you like your study environment? 1 is totally quiet, 10 is study with TV/radio on*



I hereby agree to occupy a room in the residence hall assigned to me for the period indicated above at the rate prescribed by the board of trustees of the university for board and room for the term of this contract. I further agree to obey the terms and conditions of occupancy attached, as well as the rules, regulations and policies governing the conduct and lifestyle of students which are now in effect, and any that may be adopted and aproved by the university during the period of this contract.
By filing this form electronically, I certify the statements in this application are true and correct to the best of my knowledge.*