Apply Online to York College of Nebraska

Home / Campus Life / Residence Life

Housing Reservation Form

* Denotes required fields

Your Info:

Last Name: *
First Name: * Middle: * Gender (M/F): *
Address: *
City: *
State: * Zip Code: *

E-mail Address: *
Phone: * Cell:

Date of Birth: *
Month Day Year

Classification: *
Freshman Transfer Number of hours :

Year of High School Graduation:

Residence Hall Preference:

Thomas Hall (Women) McCloud Hall (Men)
West Apt (Women)* Gibbs Hall (Men's Apartments)*

*In order to be eligible to live in the apartments, a student must be 21 or older, or have completed 60 credit hours or more (junior status or above).

Room Preference:

Private Room Prefer a Roommate I would consider an International Roommate

Roommate Preference: (Not Required)

Name:
Phone: E-mail:

To ensure your roommate request, you must BOTH request each other. Requests must be submitted by August 1st or student will be assigned a private room.

About You:

Are you going to be involved in collegiate athletics? Yes No

If so, which one(s)?
Baseball Basketball Cheer & Pom Squad Soccer
Softball Track/Cross Country Volleyball Wrestling

Sleeping habits:
Early to bed - early to rise Night owl

Study Habits:
Noise:                                                      Place:                                    Time:
Need a quiet place                 I prefer my room      Study early
I can study with distractions Somewhere else     Study late

Social Habits:
I am quiet and reserved
I am moderately outgoing
I am very outgoing

Cleaning Habits:
Neat Freak
Casual
Messy

Once on campus, I hope to be involved in:

Choir Drama Social Clubs
Intramurals Campus Ministries Student Government

Semester you plan on attending:

	Home \| Academics \| Admissions \| Alumni \| Arts \| Athletics \| Campus Life
	© 2007-2013 York College • 1125 E 8th St • York, NE 68467 • 1-800-950-9675