Residence Hall Reservation Form
Name  *
Current Phone  *
Current Email  *
Student ID
Class Level  *
Academic Year begins in September and ends in August  *
Please check each term attending

Comments / Special Requests (i.e. dorm/room)
SummerMay 1
FallJuly 1
WinterNovember 1
SpringFebruary 1

Please contact the Dean of Student's Office for further assistance at or (260)452-2157.

Student Services