STUDENT HOUSING APPLICATION 
ST. CROIX CAMPUS 
                                                                                                                     Tel: 340.692.4181 | 4194 |Email: tgolphi@uvi.edu 
 
Please return completed Form and $100.00 Reservation Fee to the campus of your choice or mail to:- 
St. Croix Applicants: 
Residence Hall, RR1 Box 10,000, Kingshill, St. Croix, VI 00850 / TEL:-  340.692.4194 
St. Thomas Applicants:     Student Housing, UVI, St. Thomas, US Virgin Islands 00802-9990 / TEL:- 340.693.1110 
                                                                                                                                                                                                                         Rev 5/18/22 
 
 
Please complete and return form to campus of your choice:         
 
1. First Name:……….……………………….……………. 2. Last Name: ………………….………………………...      3. Sex:   M☐    F☐  
4. UVI Student ID#…………………………….   5. Application for Spring ☐    Fall ☐    Year :..     6. DOB……………………….. 
 7. Mobile Phone:………………………………   8. Home Phone :………………………   9. Email: ………………………………………….. 
10. Campus ☐  St. Croix         ☐  St. Thomas 11. Home Address……………..…………………………………….……………………….                
……………..…………………………………….………………………. 12. State/Country……………………….…………………………..                   
13. Birthplace……………………………………………….……………14. US Citizen   Yes☐   No ☐ 
15. Please indicate Room preference: (A) Double Occupancy ($1387.00) ☐  |  (B) Single ($1,803.00, if available) ☐  
16. MEALS: - All residents must choose one (1) of the following meal plans per semester:  
                          ☐   Plan A - $2,890.00 (20 Meals per week)                                  ☐ Plan B - $2,025.00 (14 meals weekly) 
17.  Status: New Resident ☐   Returner ☐    NSE  ☐     Norwich Student ☐    ROTC ☐     Scholarship Recipient ☐      Transfer ☐ 
18.   Freshman ☐    Sophomore ☐      Junior ☐      Senior ☐          19. Major…………………………………………………………..                       
20.  Have you previously submitted a Housing Application?   Yes☐    No ☐  
21.  Emergency Contact Name…………………………………………. 22. Email……………………………………………………………….        
23. Cell # …………………………………………..24. Work …………………… 25. Home:……………………………………………………..                   
26. Indicate Roommate Preference (Yes/No)……………: Name:……………………………………………………………………………….              
27. INVOLVEMENT: Each resident is encouraged to be involved in at least one Life Skill or Living Learning Communities Activity: 
  ☐Cooking  ☐ Gardening  ☐ Sewing  ☐ Cosmetology  ☐ Recycling  ☐ Academic/Tutoring  ☐ Community Service  ☐ Fishing 
 ☐Composting  ☐Art/Craft  ☐ Beauty/Selfcare  ☐ Speech/Public Speaking/Presentations  ☐ Career Prep/Resume/Interview Skills  
 
 
 
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Signature 
 
 
 
 
                                             Date 
A $100.00 RESERVATION FEE MUST ACCOMPANY THIS APPLICATION. This deposit will serve as the room 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. 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 below. 
I understand that: - (1) Assignments to Residence Hall will depend on availability of space.  (2) Receipt of this Application does not guarantee 
housing.  (3)  Housing space guaranteed ONLY after I have returned my completed Housing Application, CLEARED Medical Requirements, along 
with Deposit and completed ALL other steps of the Residence Life & Housing Application process.  (4) Assignments are only after I have registered 
with 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. (5) COVID-19 Protocols apply.