Submittal of this application requires payment of the deposit! Please feel free to call 435-797-0281 or toll free 866-328-4785 before proceeding if you have any questions.

Applicant Information:
First Name:      M.I:      Last Name*: 
Birth Date: A#: Status:
Are you currently or have you ever lived on campus?      
Home Phone:           Cell Phone:  
All confirmation and assignment correspondence is sent vie email. Please provide an address you use frequently.
Permanent Address: Street:
                                   City:                                    State:         Zip code:
Have you, or anyone who will be living with you, ever been convicted of a felony or misdemeanor other than a minor traffic violation, or is any such charge now pending?    
If yes, please e-mail a description of the incident(s), including the date(s) and location(s) to If your answer changes prior to moving in, you must promptly contact the Housing Office to provide an explanation.
*Even if you aren’t married yet, please fill out the application with the name you will be using after the marriage.

Family Members:
Name: Relationship: Birth Date: A#

Emergency Contact
Name:   Phone:   Relationship:      

Style of Residence:
1st Choice: 
2nd Choice: 
3rd Choice:

Please select an exact day for your arrival. This date can be changed at a later time if you find it necessary.
Desired move-in date:


This application-contract is a legally binding document. By clicking continue, you are agreeing to abide by the Terms and Conditions of Occupancy and Residence Life Handbook.

Application will not be processed unless the $150 deposit payment is made.

If you are not prepared to submit the deposit at this time, please DO NOT click continue. Please exit the site by clicking the X in the top right corner of your screen to close your browser window. By clicking continue, the application is submitted and you are taken to our credit card processing center.