| _ -----OFFICE USE ONLY | |
| Date Received:___Receipt:___ |
|
| Unit Assignment:___________ | |
| Unit Type:________________ | |
| Campus: UP __ NC __ PH __ |
| HOUSING APPLICATION |
Please complete all the information requested and return this application with a $150 deposit to: FIU, University Housing Office, University Park, Miami, Florida 33199. Funds must be drawn on a U.S. Bank. Checks, money orders or travelers checks only. ____NO CASH OR CREDIT CARDS ACCEPTED. |
INFORMATION Gender: Male__ Female__ Date of Birth __/__/__ Have you ever applied for FIU Housing? Yes__ No__ HOUSING REQUEST FOR: __ Academic Year 19 (Fall/Spring) __ Spring 19___Term __ Summer 19___ A / B (Please circle) Name:___________________________________________________ SS/Student#:______________________ Address:________________________________________________ TEL #:( )_____________________ ________________________________________________ FAX #:( )_____________________ School Enrollment: FIU___ Other(Specify):_________________________________________________ Classifications: FR__ SO__ JR__ SR__ GR__ Major________________________________ Participating in Florida Prepaid College Program _____ Health problems or handicaps which may require special accommodations (Describe)______________
| LIVING OPTIONS |
| UNIVERSITY PARK APARTMENTS & NORTH CAMPUS: Married
Housing: ___ UNIVERSITY PARK APARTMENTS: Graduate Housing ___ UNIVERSITY PARK PANTHER HALL: Honors and Scholars Wing ___ (for Honors College & Academic Scholarship students) F.Y.R.S.T. (First Year Residents Succeeding Together) ___ (requires supplemental application, Freshmen only) If space is available, I would prefer the following type of assignment: (Number in order of preference) |
| .. ..North Miami Apartments | ,University Park Apartments | Panther Hall |
| __ A- Studio/Single | __ F - Studio/Single | __ Two Bedroom (--)Single (--) Double |
| __ B - 1Bedroom (private bath) (--) Single (--) Double |
__ G - Efficiency (.. )Single (..)Double |
-------- |
| __ C - Efficiency/Single (shared bath) | __ H - 1 Bedroom/Double | |
| -__ D - 1 Bedroom
(shared bath) (.. )Single( .. )Double |
__ I -- 2
Bedroom (--) Single (--) Double |
|
| __ E. - 2 Bedroom/Double (shared bath) (V )Single ( .. )Double- |
__ J - 2Bedroom/Double- | |
| __ K - 4 Bedroom/Single |
If space is available, I would like to room with the following (only mutual requests will be honored). Please state Name and SS#. If married, please provide spouse's name below. Note that children are not eligible for housing. 1._____________________________________________ 3.______________________________________ 2._____________________________________________ 4.______________________________________
I understand that this is an application for housing space at Florida International University and not an application for a certain type of space or a specific building. While every effort will be made to use preference in issuing a Housing Agreement, all offers will be based on space Available. I have read and understand the information provided. Signature_______________________________________ Date_________________________________