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Dormitory Application

Please fill out the dormitory application to arrange for a dorm room. The dormitory manager will contact you to confirm your reservation.

First Name:
Last Name:
Address:
Email Address
Phone Number:
Nationality:
Gender:	Male	Female
Emergency Contact:
Name:
Phone Number:
Room Preferences:
Arrival Date:
	Single Room ($700 per month) Double Room ($460 per month)
Do you smoke?	Yes	No
Flight Information:
Airline:
Flight Number:
Arrival Time:
Special Requests:
Please print a copy of this application for your records BEFORE you click the button below.