Transfer Student Housing Application

Housing Needed Beginning: Spring 2010 Fall 2010 Gender: Male Female

Student ID Number: Date of Birth (MM/DD/YY):

Day Phone Number: Evening Phone:
Please remember to include an area code with phone numbers.

W&M Email Address: Other Email Address:

Fax Number:

Mailing Address: Please specify how it should appear on a mailing label.

Additional Address: If your address is changing, please include your new address and the date the new address goes into effect.

The Residence Life staff will notify you using the above phone/fax numbers and/or e-mail address. We cannot be responsible for missed opportunities due to inaccurate or incomplete information. If you would like to include additional information, please provide this in the space provided below. This maybe necessary if you are leaving a school address on a certain date or moving. Please notify our office immediately if a change has taken place so that we can make the appropriate corrections. Thank you.

Please select the most appropriate response to each of the following questions.

1. Are you a smoker? Yes No
2. Would you mind if your roommate smokes? Yes No
3. Are you interested in Special Interest Housing? Yes No
4. Indicate all Special Interest Housing options that interest you. Use the Ctrl Key for mulitple entries.
   Arabic House Chinese House French House German House Italian House Japanese House Spanish House Russian House Community Scholars House Eco House Mosaic House Reves Hall Fraternity Sorority
   
   Those interested in a language house should contact the Department of Modern Languages at 757.221.3634 for an application and evaluation.
   Those interested in the Reves program should contact the Reves Center at 757.221.3590.
5. If you selected a fraternity or sorority specify name:
6. Are you a member of the fraternity/sorority listed above? Yes No
   A letter from the organization's President is required before we can officially place you in the House.
7. Indicate any specific housing requests (i.e. names of residence halls, roommates, etc.)
   
8. Any other information that you feel is important for us to know (i.e. address change, medical needs, etc.)
   
9. For men, I am not a member of a Greek organization, but would consider being assigned to a vacancy in the fraternity and would like to be contacted by a member of CFA (Council of Fraternity Affairs) regarding the spaces available. Yes No

Please print a copy of this form for your records before submitting.