Deposit - Residence Hall

Commitment Deposit and New Student Housing Application

The housing application will not be processed until your commitment deposit is received. All unmarried, first-year students are required to live in the residence halls for their first two consecutive semesters unless special approval is given by the Director of Residential Life for the student to live off-campus.

Student Information

First Name

Last Name

Email Address

Cell Phone

Student ID

Social Security Number

Enter without dashes

Housing Information

Room Occupancy Preference

Please note that different rates apply for each room type.

Interested in a triple person roomAll students are placed in double person rooms. By choosing this option, you will be considered for a Triple Person Room if one is available. Note that different rates apply for each room type.

Roommate Request

Both students must request each other.

I am a:

Very Neat PersonModerately Neat PersonModerately Messy PersonVery Messy Person

Early Morning PersonLate Night Person

OutgoingReserved

Select three qualities that describe you:

AthleticCreativeMusicalOutgoingReservedSensitiveSocialSpiritualStudious

Select three qualities you'd like in a roommate:

AthleticCreativeMusicalOutgoingReservedSensitiveSocialSpiritualStudious

Please select any hobbies, interests, and activities you are involved with:

Academic Honor SocietyArt Activity or ClubCareer-oriented ActivityCommunity or Service ActivityComputer ActivityDance Activity or GroupDebating/Public SpeakingEthnic OrganizationForeign Lang. Activity/ClubStudent GovernmentJournalism/Communication ActivityJunior ROTCMusic/InstrumentalMusic/VocalReligious ActivityScience or Math ActivitySchool Spirit Activity or ClubTheater ActivityOther Activity

Other Activity

Will you be 21 years or older by August 15?

Yes, I will be 21 years old or older by August 15No, I will not be 21 years old

Do you drink alcohol?

Do you object to a roommate who drinks?

Do you smoke?

Do you object to a roommate who smokes?

Special Requests (accessibility, medical needs, etc)

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Relationship to student

Phone

Electronic Signature

Read the Concordia University Texas Housing Agreement.

Terms Agreement

I have read and understand the terms of the Concordia University Texas Housing Agreement.

Student's Electronic Signature

Please include your first and last name