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RESIDENCE CHOICES: List all the residences that, upon consultation with the DRC, you believe will meet your medical needs, in order of preference. It is to your advantage to list as many residences as possible. If you do not list a sufficient range of residence choices, you may be assigned to a residence that you have not listed as a choice but meets your needs, at the discretion of Housing Assignment Services. You must be willing to live in any residence that meets your medical needs to receive an exempt assignment, and you should rank your choices accordingly. If you would prefer to live in one or more houses that are traditionally very difficult to be assigned to, you might list those houses among your top choices. Your middle choices might be houses that you like to which assignment is generally somewhat less difficult. Your last few choices might be houses to which assignment is traditionally less competitive. Please refer to the Residence Tour or Summer Housing pages on the World Wide Web for general information about residence options. A brief summary of accessible residences is available; contact the Disability Resource Center for more specific information. Undergraduates seeking assignment to a residence that offers special priorities should request a priority at the house to improve the chance of being assigned there, and should indicate below whether or not a priority has been requested.  

Residence & Codes Residence Priorities. Undergraduates: Are you requesting a priority? (yes/no)
1) ___________________________________________ __________________________________
2) ___________________________________________ __________________________________
3) ___________________________________________ __________________________________
4) ___________________________________________ __________________________________
5) ___________________________________________ __________________________________
6) ___________________________________________ __________________________________
7) ___________________________________________ __________________________________
8) ___________________________________________ __________________________________
9) Graduate Students: Are you requesting to stay in your current residence and room/apartment? Do you want to utilize your Returning Residence Priority? (yes/no)

By signing this form, I affirm that I have reviewed the above listed residences with the DRC regarding my specific housing needs. I also affirm that I have read the applicable housing web pages for the 2000-01 Draw/Lottery/Summer Allocation and understand and agree to the terms set forth therein.

______________________________________________ ________________
Signature of Student Date
 

SINGLE GRADUATE, COUPLE WITHOUT CHILDREN, OR STUDENT WITH CHILDREN HOUSING: Please complete a Graduate Housing application in Axess or attach the application to this request. If your request is denied, your housing application will be entered in the Graduate Lottery, unless you notify us otherwise by May 8. 

SUMMER HOUSING: Please complete a Summer Housing application in Axess or attach the application to this request. If your request is denied, your housing application will be entered in the Summer Housing Allocation, unless you notify us otherwise by May 8.  

 

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