New Resident Application
This application is for new student residents wishing to live on campus for the 2024-2025 Academic Year.
Resident Information
First Name
*
Middle Name
Last Name
*
Preferred Name
*
Let us know what name you like to be called!
Gender
*
Female
Male
Other
Date of Birth
*
-
Month
-
Day
Year
Date
Cell Phone Number
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Email
*
example@gmail.com
UT Southern Email
*
example@utsouthern.edu | If you do not know your UT Southern email yet, please type UNKNOWN@utsouthern.edu
UT Southern ID Number
UTS Student ID Numbers look like this: S000001234. Please input all letters and numbers! | If you do not know your ID number, please type UNKNOWN.
What will you be classified as for the 2024-2025 academic year?
*
Please Select
First-Year Student
Sophomore
Junior
Senior
Graduate Student
Please upload a picture of yourself for our residential systems.
*
Browse Files
Drag and drop files here
Choose a file
This can be a selfie, a picture of you alone, or even a cropped photo! (Just make sure yours is the only face we can see.) This helps our residential staff with security measures and community development.
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Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Emergency Contact Email
*
example@example.com
Emergency Contact Relationship to You
*
Parent/Guardian
Grandparent
Sibling
Other
Housing Preferences
Meal Plan Selection
*
19 meals per week, plus $50 Flex to use at FireHawk Cafe
15 meals per week, plus $75 Flex to use at FireHawk Cafe
10 meals per week, plus $100 Flex to use at FireHawk Cafe
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Preferences
We often have a limited number of single rooms available at an increased cost per semester. Would you like to request a single room?
*
Yes
No
Do you have a roommate that you already know you want to live with?
*
Yes
No
If yes, Name of Requested Roommate
First Name
Last Name
Will you be on an athletic team?
*
Yes
No
If yes, what sport?
Please Select
baseball
basketball - women's
basketball - men's
bowling
cheer
clay target
cross country
golf
soccer - women's
soccer - men's
softball
swimming
tennis - women's
tennis - men's
volleyball
If there is an option to live with teammates, would you want to?
Yes, I strongly prefer to live with my own teammates.
Yes, but living with a teammate isn't the most important aspect of a roommate to me.
No, I would like to meet new people outside of my teammates.
What are your expectations around cleanliness for your room?
*
I am extremely clean and expect my roommate to be as well.
I am pretty tidy and hope my roommate is as well, but I can handle a little clutter during busy seasons.
Cleanliness isn't a big concern of mine as long as it doesn't get out of hand.
What are your expectations around guests in your room?
*
I'm really social and loving having people in and out of our room.
I like having occasional guests in our room.
I rarely want others in our room.
I am very private and never want guests in our room.
What are your expectations around bedtime?
*
I plan to go to bed before 10:00 pm on an average weeknight.
I plan to go to bed between 10:00 pm and midnight on an average weeknight.
I plan to go to bed between midnight and 2:00 am on an average weeknight.
What are your sleep habits?
*
I am a heavy sleeper.
I am a light sleeper.
I watch TV/listen to music to fall asleep.
I need silence to fall asleep.
I have a light or screen on when I fall asleep.
I need pitch black darkness when I fall asleep.
I hit snooze a lot in the mornings.
I often sleep through alarms.
I wake up pretty easily on most mornings.
What are your expectations around noise levels?
*
I plan to study in our room, so I hope it will be a quiet place for that.
I plan to study in our room, but I like a little background noise.
I like listening to music/ watching TV when I'm getting ready or hanging out.
I don't have any preferences.
What are your expectations around room temperature?
*
I like our room to be warm most of the time.
I like our room to be cool most of the time.
I don't have a preference.
How do you want your roommate to communicate concerns to you?
*
I hope they will tell me upfront early on and face-to-face so that it doesn't become a big deal.
I hope they will tell me upfront early on, but would prefer to talk over text.
I would rather that they ask an RA to help us have a conversation about the concerns.
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Do you have any reasonable accommodations you will be requesting through the Vice Chancellor for Student Affairs?
*
None
Emotional Support Animal
Limited Access to Stairs
Other
Housing Application Fee
*
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Credit Card Information
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Last Name
Credit Card Number
Security Code
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Expiration Month
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Street Address
Street Address Line 2
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Iran
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Israel
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Jamaica
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