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Housing Request

Please, complete the form below:

General Information:

* First Name:

Middle Initial:

* Last Name:

Preferred Name:

* Email address:

2nd Email Address (optional):

* Cell Phone:

* Birth Date:

* Gender:

* Program at SRISA:

* Semester/Session at SRISA:

Do you have any physical and/or mental conditions, limitations, or allergies we should know about?

Emergency Contact:

* Emergency Contact:

* Emergency Phone:

* Emergency Email:

Mailing address:[You would you like your housing deposit to be returned to]

* Street Address:

* City:

* State:

* Zip Code:

Personal Preferences:[Please help us choosing the best housing for you]

* Do you smoke?

YES NO

* Would you like to stay in an apartment with non-smokers?

YES NO INDIFFERENT

* Would you prefer to be with people your age?

YES NO INDIFFERENT

* Are you willing to share a co-ed apartment?

YES NO INDIFFERENT

Indicate 1-5 the adjective that you feel best describes you:

* Neat Freak(1) or Messy(5)?

* Night Owl(1) or Early Bird(5)?

* Outgoing (1) or Reserved(5)?

* Adaptable(1) or High Maintenance(5)?

Housing Request Information:Indicate your Housing Choices

* First Choice:

* Second Choice:

IMPORTANT NOTE: Most accommodations in Florentine apartments are in double occupancy rooms. We cannot guarantee any student a single room. Those that pay for a single room and are subsequently placed in a double room will be refunded the difference in price by U.S. check.

Roommate and Housemate Information:Please choose the options you feel best describe your ideal roommate:

* My ideal roommate...

Describe your ideal roommate and/or roommate requests:

Note: We do our best but it may not be possible to accommodate all requests

* I have read and I accept the terms of the SRISA privacy policy disclaimer

Forms
Enrollment Check-List
Online Payments