Housing Application Accepted students should complete and submit the housing application. Resident ProfileFirst *Middle Name *Last *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweEmail *Phone *Gender *MaleFemaleTransgender: Please reach out to me to discuss my housing needsDate of Birth *Year in School *First Year (includes transfer)Second YearThird YearFourth YearMajor Car on campus? YesNoHousing Plans I request on-campus housing for the academic yearI plan to live off-campus On Campus Housing SurveySurvey Instructions Students requesting on-campus housing MUST complete the following questions. Commuter students may skip this section and submit the form. The following questions are designed to assist us in the assignment process. The Office of Housing & Residence Life does not guarantee you will be assigned to your room preference or that each response will exactly match those of your roommate(s). We will make every effort to try to accommodate your requests.Housing Complex (first choice) Village ApartmentsWoodward ApartmentsBeacon Commons ApartmentsRAP (Resnick Alpern Plung) HallHousing Complex (Second Choice) Village ApartmentsWoodward ApartmentsBeacon Commons ApartmentsRAP (Resnick Alpern Plung) HallType of Apartment - First Choice Private ApartmentShared ApartmentShared RoomNo preferenceType of Apartment - Second Choice Private ApartmentShared ApartmentShared RoomNo preferenceType of Room - First Choice Private ApartmentSmall SingleLarge SingleSharedType of Room - Second Choice Private ApartmentSmall SingleLarge SingleSharedFloor FirstSecondNo preferenceDo you have any physical or medical conditions which would affect your housing assignment (i.e. allergies, limitations of mobility, etc.)? *YesNoIf yes, please describe: Special Requests Do you smoke? (All complexes are smoke free) YesNoDo you object to a roommate who smokes? YesNoDo you like to keep your room/area neat? YesNoDo you prefer living in a quiet environment? YesNoI generally go to bed: Before 10 p.m.10–11p.m.11 p.m. – midnightMidnight – 1 a.mAfter 1 a.m.My preferred time to wake is: Before 8 a.m.By 10 a.m.By noonWhen I sleep, my sensitivity to light & noise is: Very light sleeper – awakened by mild noise or lightAverage sleeperHeavy sleeper -not bothered by noise or lightI anticipate spending my free time: Attending campus events & activitiesParticipating in student clubs/organizationsWorking a job on or off-campusOtherIf you answered Other, please specify: I wouldn’t mind living with: DogCatNeither Acknowledgement of Terms and Conditions Beacon College agrees to provide housing for resident in accordance with the terms and conditions outlined in this agreement. Clicking the "I accept" button on this contract constitutes acceptance. Student affirms the terms and conditions are a binding part of this contract. Student agrees to comply with all other rules of conduct now in effect or any that may be adopted by Beacon College during the period of the contract. As indicated by my acceptance, all information that I have provided is true and accurate. I acknowledge that all student health and financial obligations to the College must be met prior to housing be assigned or my being issued clearance for check-in/move-in.Acceptance *I accept the terms and conditions above.I do NOT accept the terms and conditions. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
