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Spring Housing Request Form

The following form is only to be filled out by students studying abroad in the fall semester. Forms will not be accepted from students not studying abroad.

If you are interested in living on-campus in spring 2009, you must submit this form to request housing by Oct. 31, 2008. Completing this form does not guarantee you will receive an on-campus housing assignment.

If one of your choices is to be pulled into a double, a suite, or an apartment, a Mid-Year Pull-In Request form (available here) needs to be submitted in addition to this form. The Mid-Year Pull-In Request form needs to be filled out by the students in the space you wish to move into and must be submitted by October 31, 2008. Please see the Mid-Year Pull-In Request form for specific dates and details.

Please fill in all fields on the form. Incomplete applications may not be accepted. You will be notified of your housing assignment via email in early December. If you have any questions, please feel free to email us at reslife@brandeis.edu or call us at 781-736-5060.

Fields marked with * are required. Forms with incomplete information will not be processed.


*First Name: *Last Name:

*Brandeis Email Address:

*Sage ID #:

*Current Class Standing:

*Permanent Address:

*Home Phone Number:

Cell Phone or Other Phone Number:


Preferences: Enter your top three housing choices. Please include specific names and suites/rooms/locations. While Residence Life will work to assign you to housing that meets one of your preferences, there is no guarantee we can accommodate all requests.

*Quad:
Notes:
*Preference 1:
*Preference 2:
*Preference 3:

*Pull-In

Yes, I want to be pulled-in and my friends or I will be submitting a Mid-Year Pull-In Request form.

No, I do not want to be pulled in and I will not be submitting a Mid-Year Pull-In Request form.

I'm not sure. I have not decided if I want to be pulled-in and if I will be submitting a Mid-Year Pull-In Request form.