Homebase Residence Reservation Form

Personal Information
  Name:
* Last * First * Middle
* Gender:
* Age: * Birth Date:
Address:
* Address Type:
  Address:
*
          
* City: * * Zip/Postal Code:
  Address:
*
          
* City: * Postal Code:
* Country
Contact Information:
* E-mail Address:
Please use your WWU e-mail if you have one.
* Home Phone: * Summer Phone:
Cell Phone: * Emergency Phone:
* Parent/Guardian Name:
School Information
* School year applying for:
* Quarter applying for:
* Applying as:
* High school/Academy graduated from:
Dorm Information:
* Time I prefer to go to bed: * Time I prefer to get up:
* I tend to sleep:
* My hobbies:
* Type of music I enjoy:
* Type of music I dislike:
* I tend to keep my room:
Roommate Information:
Qualities I would like to see in a roommate:

Roommate preference(s):

Building/area/floor preferences:

Personal Information:
Please use the space provided to give additional information you feel would be helpful in making a roommate assignment.

Room Deposit: $175 ($115 Refundable)
US funds must be remitted to the Dean or cashier in the accounting office before Aug. 1 to hold your reservation. No reservations without deposit. Checks payable to WWU.
Dorm Reservation Deposit

Please select a payment method:

* Online Payment Options:      
US or International payment
*
Will remit by:
We will do our best to honor your roommate and residence hall preferences. Freshmen women will be housed in Conard Hall. Freshmen men will be housed in Sittner Hall.

Questions about housing reservations?
Women’s Housing Dean: (509) 527-2531
Men’s Housing Dean: (509) 527-2111.

If you wish apply by mail or FAX, please remit your completed application to:

Enrollment
Walla Walla University
204 South College Avenue
College Place, WA 99324
FAX (509) 527-2237
Dean’s Office Use Only
Room Reservation Received:
Contacts:
ID Number:
Current Room Assignment:
  * Response required