Housing Application


FALL 2008

Please type in information and return with a $50.00 non refundable application fee to:
Cashier's Office
Eastern Illinois University
600 Lincoln Avenue
Charleston, IL 61920-3099

COMPLETION OF THIS APPLICATION INDICATES ACCEPTANCE OF HOUSING REGULATIONS AS STATED IN THE EIU RESIDENCE HALL STUDENT HANDBOOK.

Male Female    
APPLICATION FOR: Fall Sem. 20       Summer Sem. 20       Spring Sem. 20   

UNIVERSITY CLASSIFICATION: FR    SO    JR    SR    GRAD    SPEC.

NAME: (Last, First, MI) BIRTHDATE:
E#: Soc. Sec#:
E-mail address:
HOME ADDRESS: CITY: State: Zip:
TELEPHONE:
PARENT/GUARDIAN:
PARENT/GUARDIAN HOME ADDRESS:
CITY: State: Zip:
TELEPHONE:
BROTHERS: (Younger/Older)    SISTERS:

HIGH SCHOOL: LOCATION:
YEAR GRADUATED: OTHER COLLEGES ATTENDED: NO. YRS IN COLLEGE:

YEAR IN COLLEGE WHILE LIVING IN HALL: FR    SO    JR    SR    GRAD
COLLEGE CURRICULUM: (Major in which interested/other fields)
FATHER'S OCCUPATION:      BUS. TEL#:
MOTHER'S OCCUPATION:    BUS. TEL#:
PHYSICAL OR HEALTH CONDITION TO BE CONSIDERED IN ASSIGNMENT?

GENERAL POLICIES
1. Insofar as space is available, recognition is given to hall preferences and to mutual requests for roommates.
2. Assignments are made without regard to race or creed.
3. Residence Hall Panther Dining Services do make provision for special diets.
4. The university reserves the right to make such changes in room assignments, or to make such additional assignments on a temporary basis as may be needed in an emergency.
I have read the general policies above and I am willing to accept an assignment in accordance with such policies.

DATE:_________________________ STUDENT SIGNATURE: _______________________________________________________

Non-Refundable Application Fee

NAME: (Last, First, MI)
E#: Soc. Sec# :
HOME ADDRESS: CITY: STATE: ZIP:

Application for:
Men's Residence Hall          Men's Greek Court Housing  
Women's Residence Hall    Women's Greek Court Housing   


Office of University Housing
and Dining Services
Eastern Illinois University
Charleston, IL 61920-3099

Non-Refundable Application Fee

THE RETURN OF THIS CARD PROPERLY VALIDATED
ACKNOWLEDGES RECEIPT OF YOUR NON-REFUNDABLE APPLICATION FEE

The non-refundable application fee is not applied toward room and board payments. The application fee is nonrefundable even if a student is not admitted to the University.

NAME:
HOME ADDRESS: CITY: STATE: ZIP:


Office of University Housing                                                 Cashier's Office Use Only
and Dining Services
Eastern Illinois University
Charleston, IL 61920-3099