Abroad/Medical Returning Students 2012-2013 Room and Board Application

This application is for space assigned through the Office of Residential Life at Washington University in St. Louis. By submitting the form you agree to abide by the rules and regulations stated in the Terms and Conditions which accompany this website.

STUDENT NAME AND INFORMATION:

First Name

Last Name

Middle Initial

WUSTL ID

Birth Date

Format MM/DD/YYYY

Gender

Home Phone

Cellular Phone

Fax

E-Mail

Permanent Address

STUDENT STATUS:

Returning From

Class

RATES & MEAL PLANS:

Room and meal plan rates are reported for the entire academic year.
You will be billed only for the semester(s) that you live with us.

A meal plan is required by all students. See section 14 of the Terms and Conditions for details on point disbursal.

Meal Plan

Please review Dining Services for additional information regarding our meal plans.

Freshmen are required to purchase the Silver Plan which is our most popular plan and meets the dietary needs of most students. The Bronze plan is the minimum requirement for upperclass students who reside on the South 40 and the Village. The On-Campus Apartment plan is the minimum requirement for students who reside in on-campus apartments. The Off-Campus plan is the minimum requirement for students that do not reside on –campus.

Points may be used at any WUSTL Dining Services location on campus. Points may also be used for food and beverage purchases in Paws & Go and Millbrook Market.

ROOM ASSIGNMENTS:

Students will be assigned to their ranked choices on a space available basis. We will work diligently to take your preferences into consideration however we cannot guarantee that we will be able to match you into your top choices.

Please Note: Room and meal plan rates are reported for the entire academic year. You will be billed only for the semester(s) that you live with us.

Additional comments or specific rooming and/or roommate request:

ASSIGNMENT LOCATION:

Please rank these options in order of your preference. You must rank each option:

First Choice

Second Choice

Third Choice

Fourth Choice

ON CAMPUS HOUSING PREFERENCES:

Please rank these options in order of your preference. You must rank each option:

First Choice

Second Choice

Third Choice

Fourth Choice

Fifth Choice

Sixth Choice

OFF CAMPUS HOUSING PREFERENCES:

Please rank these options in order of your preference. You must rank each option:

First Choice

Second Choice

Third Choice

Fourth Choice

NEED FOR SPECIAL ACCOMMODATIONS:

Residential Life must be notified of any medical or disability-based needs that may affect your housing assignment. Requests and their supporting documentation must be received by Residential Life.

Please submit all requests to:
Office of Residential Life, Campus Box 1250
One Brookings Drive, St. Louis, MO 63130-4899
Attn: Special Housing Request.

Are you submitting a request to Residential Life that could affect your assignment?

Yes No

SMOKING:

Washington University is a tobacco-free campus.
Smoking and tobacco use will be prohibited on University owned and managed properties.

I am okay living with someone who smokes. I would prefer NOT to live with someone who smokes.

CONDITIONS OF ASSIGNMENT:

Application Fee:

I Accept

I agree to accept a charge of $450, which will be immediately applied to my student account.

Cancellation:

I Accept

I understand that this contract cannot be cancelled without a financial penalty. In all cases, students who cancel their contract will be charged a $500 cancellation fee.

Declaration of Intent:

I Accept

I understand that this room and board application with the Office of Residential Life and the policies regarding the Application Fee are subject to the Residential Life Washington University Terms and Conditions. I agree to abide by all rules and regulations established by the Office of Residential Life and Washington University, as well as all Federal, State and Local laws.

Questions? Residential Life Contact Information
Terms and Conditions

Enter the Code: