Summer Application - Life on Campus - Housing - EWU

Name*

First Last

Gender*

Male
Female
Neutral
Other

Age*

Net ID*

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Emergency Contact's Name*

First Last

Emergency Contact's Phone*

Emergency Contact's Relationship to You

Example: "My mom"

EWU Student Type*

Traditional: Undergraduate
Traditional: Graduate
ELI

Have you ever been convicted, pled guilty or pled no contest to a crime other than a minor traffic violation?*

A traffic violation which includes the use of alcohol/drugs is not considered a minor violation. Answering yes to this question does not automatically disqualify you from living in campus housing.

Yes
No

Have you, or will you, apply to live on campus for the 2023-2024 academic year?*

Yes
No

Which weeks will you require housing over the break?*

Select all that apply. Keep in mind: you must be enrolled during each of the weeks that you wish to live on campus or be a student living on-campus for Fall 2023

Week One: June 25-July 1
Week Two: July 2-8
Week Three: July 9 -15
Week Four: July 16-22
Week Five: July 23-29
Week Six: July 30-August 5
Week Seven: August 6-12
Week Eight: August 13 - 19
August 20 - September 15: Summer to Fall Break (Fall 2023 Residents Only)

Which would you prefer?*

Single room with meal plan ($412.50 per week)
Single room without meal plan ($262.50 per week)
Double room with meal plan ($391.50 per week)
Double room without meal plan ($241.50)

Roommate Request

If you have a selected a double room and have a roommate who is also staying for the summer, please provided their first and last name so we can place you together. Otherwise we will assign roommates.

Agreement*

The above answers are true and accurate. I understand that providing false information on this application may be grounds for denial of residence housing. In the event this application is accepted by Eastern Washington University, I agree to pay the weekly Housing and
Dining rates as they have been announced or as they may be adjusted. I have read the “Summer Session Information, Expectations and
Policies”. I agree to abide by the 2021-2022 EWU Housing and Dining Contract, Residential Life Living Guide, and Student Conduct Code.
The university reserves the right to recover any costs and attorney fees incurred in enforcing the terms of this agreement.

I agree.

Parent Permission*

The above answers are true and accurate. I understand that providing false information on this application may be grounds for denial of residence housing. In the event this application is accepted by Eastern Washington University, I agree to pay the weekly Housing and
Dining rates as they have been announced or as they may be adjusted. I have read the “Summer Session Information, Expectations and
Policies”. My student agrees to abide by the 2020-2021 EWU Housing and Dining Contract, Residential Life Living Guide, and Student Conduct Code.
The university reserves the right to recover any costs and attorney fees incurred in enforcing the terms of this agreement.

I agree.

Email

This field is for validation purposes and should be left unchanged.

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Summer Housing Application

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