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You are registering for Summer 2013 Housing Application

    Registration Form created by Residence Life

    The due date for this application is Friday, April 19, 2013

    After you fill this out you will be emailed the link to sign the summer housing contract or you may sign it now by clicking here

    Please read the information about summer housing

  1. First Name (required)
  2. Last Name (required)
  3. ID # (required)
  4. Campus Box #
  5. Gender
  6. Email Address (required)
  7. Please re-enter Email Address (required)
  8. Cell Phone #
  9. Current Hall/Apt. (required)
  10. Current Room # (required)
  11. Fall Hall/Apt. Philly, or Study Abroad (required)
  12. Fall Room # (required)
  13. Summer Job/Class Supervisor or Professor (required)
  14. Department (required)
  15. Dates you will live on-campus (if not staying entire summer)
  16. Roommate Preference
  17. Possible Vacation Dates (NO vacation 5/19 or 8/16-17)
  18. Special housing accomodations needed
  19. Working a 40 hr/week job where you are REQUIRED to live on campus? (required)
  20. Working a 40 hr/week job where you are NOT required to live on campus? (required)
  21. Working a 20-39 hr/week job NOT requried to live on campus? (required)
  22. Working >20 hr/week job where you are NOT required to live on campus? (required)
  23. Are you doing an Internship for Messiah College Credit? (required)
  24. Remember me on this computer
  25. By using TimeToSignUp.com, you agree to the Terms of Use.