UNIVERSITY OF THE VIRGIN ISLANDS OFFICE OF STUDENT HOUSING 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 NO. 2. APPLICATION FOR 3.DATE OF BIRTH FALL 20___ SPRING 20 _____ HOUSING RESERVATION FEE $100.00 CERTIFIED CHECK OR MONEY ORDER ONLY 4. LEGAL NAME ___________________________________________ SEX: M__ F __ 5. HOME TELEPHONE________________ LAST (SURNAME) FIRST M.I. 6. PERMANENT ADDRESS_________________________________________ 7.WORK TELEPHONE________________ 8. MAILING ADDRESS ____________________________________________ 9. STATE OR COUNTRY 10. BIRTHPLACE 11. U.S. CITIZEN_________________ 12. PLEASE INDICATE PREFERENCE: SINGLE ___ DOUBLE ____ IF NO SINGLE ROOM IS AVAILBLE, YOU WILL BE ASSINGED A DOUBLE ROOM 13. STATUS: ___ NEW ENTRANT ___ TRANSFER ___ CURRENTLY ENROLLED 14. ___ FRESHMAN ___SOPHOMORE ___ JUNIOR ___ SENIOR___NSE (NATIONAL STUDENT EXCHANGE) 15. MAJOR: ______________________________________________ 16. CLASSIFICATION: __ REGULAR (DEGREE) ___ UNCLASSIFIED (NON-DEGREE) 17. HAVE YOU PREVIOUSLY SUBMITTED A UVI HOUSING APPLCATION? YES ________ NO __________ 18. Name of parent or guardian _________________________________________Home telephone _____________ (LAST) (FIRST) M.I. ADDRESS OF PARENT OR GUARDIAN ____________________________________________________________ WORK TELEPHONE _____________ P.O. BOX NUMBER AND STREET _________________________________________________________________ CITY/STATE ZIP CODE 20. MISCELLANEOUS INFORMATION: ARE YOU NOISY? ___EARLY RISER? ___ LATE RISER? ____VEGETERIAN?_____ INTEREST IN SPORTS?___ MUSIC?___ PEOPLE?____ SMOKER?____ NON-SMOKER? ____OTHER? ____________________ A $100.00 RESERVATION FEE MUST ACCOMPANY THIS APPLICATION. This deposit will serve as the room damage and key deposit which 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 (I) assignment to a 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 and check into the 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. All students residing on campus must choose on of the following meal plans per semester. (Circle one) Plan A (20 meals per week) $ 2675.00 Plan B (14 meals per week) $ 1875.00 ________________________________________________________________________________________________________________________ Signature Date Please return completed form and $100.00 reservation fee, not later than April 1 for the Fall Semester and November 1 for the Spring Semester. STT Applicants: Student Housing, University of the Virgin Islands, St. Thomas, US Virgin Islands 00802-9990 STX Applicants: Student Housing, University of the Virgin Islands RR2 Box 10000, Kingshill, St. Croix, VI 00850