2000-01 Disability Accommodation Request
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| Name: Last (Family) First | I.D. Number | Sex | Ugrad/Grad |
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| Current Residence and Room Number | E-Mail Address | Daytime Phone | |
| CATEGORY OF HOUSING: | |||
Single Undergraduate |
Couple Without Children |
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Single Graduate Student |
Student With Children |
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| QUARTER/SEMESTER: I am requesting housing beginning: | |||
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Summer Quarter 2000 |
Summer Quarter 2000 Only |
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Autumn Quarter 2000-01 |
Autumn Semester 2000-01(law students only) |
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Winter Quarter 2000-01 |
Spring Semester 2000-01 (law students only) |
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Spring Quarter 2000-01 |
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| MOVE-OUT TERM: Do you expect to move out of housing before the end of Summer Quarter 2001? | |
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Yes, probably at the end of Autumn Quarter/Semester 2000-01 |
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Yes, probably at the end of Winter Quarter 2000-01 |
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Yes, probably at the end of Spring Quarter/Semester 2000-01 |
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I do not expect to move-out of housing before the end of Summer Quarter
2001 |
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| UNDERGRADUATE STUDENTS: If you have any guaranteed years remaining, you automatically use one when applying for housing. If you are unsure of your guarantee status, or if you have no guaranteed years remaining, contact Housing Assignment Services. | |
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If you are guaranteed housing and have a preferred year remaining, check this box if you want to designate 2000-01 as a preferred year. |
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I have no guaranteed years remaining. |
| GRADUATE STUDENTS: | |
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I have no housing assignment priority years remaining. |
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Co-term
Engineer's
Master's
Non-matriculated
PhD/JD |
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New grad student for 2000-01 |
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