Apply for Housing

Full Name *

Email *

Cellphone *

Student ID *

Date of Birth *

Month

Day

Year

Are you a student at an NDUS institution? *

Yes

No

If yes, please select your institution

Do you need housing while doing an internship? *

Yes

No

If yes, who is the internship with?

Are you working for a ND state agency? *

Yes

No

If yes, what agency are you working for?

Room Type *

Single Room $70/week

Double Room $50/week

Have you ever been convicted of a felony and/or have a sex offender status? *

Yes

No

Start Date *

Month

Day

Year

End Date *

Month

Day

Year

Emergency Contact Person *

Emergency Contact Number *

Fall & Spring Housing