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STUDENT HOUSING APPLICATION CAMPUS: ST. THOMAS ST. CROIX PRINT OR TYPE PLEASE COMPLETE AND RETURN THIS FORM IF YOU ARE INTERESTED IN LIVING ON CAMPUS 1. SOCIAL SECURITY NO./STUDENT ID NO. 2. APPLICATION FOR 3. DATE OF BIRTH FALL 20_ Spring 20_ 4. LEGAL NAME ______________________________ SEX: M_ F_ 5. HOME TELEPHONE __________________ 6. PERMANENT ADDRESS_______________________________________________ 7. EMAIL ADDRESS__________________ 8. MAILING ADDRESS__________________________________________________________________________________________ 9. STATE OR COUNTRY_______________________ 10. BIRTH PLACE ______________ 11. U.S. CITIZEN _____________ 12. PLEASE INDICATE PREFERENCE: IF NO SINGLE ROOMS ARE AVAILABLE, YOU WILL BE ASSIGNED A DOUBLE ROOM. West Residence Hall DOUBLE: $2,250 Middle, South, North or East Residence Halls SINGLE: $1,803 DOUBLE: $1,387 13. STATUS: NEW ENTRANCE __ TRANSFER __ CURRENTLY ENROLLED __ 14. FRESHMAN __ SOPHOMORE __ JUNIOR __ SENIOR __ NSE (NATIONAL EXCHANGE STUDENT) _____ 15. MAJOR: ______________________________ 16. CLASSIFICATION: REGULAR (DEGREE)_______ UNCLASSIFIED (NON-DEGREE) _____ 17. HAVE YOU PREVIOUSLY SUBMITTED A HOUSING APPLICATION? YES__ NO __ 18. NAME OF PARENT OR GUARDIAN ___________________________________________ HOME TELE. __________________ (FIRST) (LAST) ADDRESS OF PARENT OR GUARDIAN________________________________________________________________ WORK TELE. __________________ P.O. BOX NUMBER & STREET ______________________________________________________________________________ CITY/STATE ZIP CODE 20. MISCELLANEOUS INFORMATION: ARE YOU NOISY?__ EARLY RISER?__ LATE RISER?__ VEGETERIAN?___ INTERESTED IN SPORTS?__ MUSIC?__ PEOPLE?__ SMOKER?__ NON-SMOKER?__ OTHER?_______ All students residing on campus must choose one (1) of the following meal plans per semester. (Circle one) Plan A ( 20 Meals per week) $3,265.00 Plan B (14 meals weekly) $2,290.00 Signature Date Please return completed form and $100.00 reservation fee, no later than April 1 for Fall Semester and November 1 for Spring Semester . NSE Contact: St. Thomas: D. Stridiron 340-693-1136/ dstridi@uvi.edu St. Croix: P. Towal 340-692-4187/ptowal@uvi.edu HOUSING RESERVATION FEE $100.00 CERTIFIED CHECK OR MONEY ORDER ONLY A $100.00 RESERVATION FEE MUST ACCOMPANY THIS APPLICATION. This deposit will serve as the room damage and key deposit which will be refundable upon request at separation from the University. The University reserves the right to make all room assignments to any vacant bed, in any room at any time. Cancellations received 21 days prior to the opening of the halls are entitled to a refund less an administrative charge of $5.00. No refund of the reservation fee will be made for cancellation after this date. All students will be limited to a maximum of eight semesters of occupancy in the residence hall during their course of study. The University reserves the right to change tuition, fees, and charges at any time. When you have read and understood the following information, please sign in the appropriate place. I understand that (1)assignments to residence hall or room type will be made in accordance with the availability of space ; (2) receipt of this application does not guarantee Housing; (3) I will be guaranteed housing space ONLY after I have returned my Housing Application and received a room assignment notice from the Office of Student Housing Application and received a room assignment notice from the Office of Student Housing and check into residence hall before the end of the regular registration period; (4) Assignments are considered only after I have been admitted to the University of the Virgin Islands; (5) Admission to the University is valid for one academic year, prospective students must reapply for admission if they fail to attend UVI during that year; (6) New students do not have roommate preference.