Married Student Housing

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* REQUIRED FIELDS	Today's Date: (mmddyy)

Last Name: First Name: *Middle Name:

Spouse's First Name: Spouse Middle Name:

*Permanent Address:

*City:	*State:	*Zip Code:

*Phone Number: -	*Alternate Phone Number: -

*Social Security Number:

*Spouse's Social Security Number:

Number of Children living in your home:	Ages of children living in your home:

*Date Housing is Needed:

Date of Wedding:

*Date Beginning School:

Requirements: Llano Collier Goodpasture Allison-Conkwright Duplex

Comments:


The Housing Office cannot guarantee your first choice of Married Student Housing, but requests will be honored when possible. Requests will be processed based upon the date of this application, the $100 housing deposit and upon availability of Married Student Housing space. No application will be considered until the housing deposit has been received.