Author: conwayp

Multiple and/or Gender Inclusive Housing Application

*Circle one room type: Standard Room Suite Apartment House
Definitions: Standard Room = a room in a traditional resident hall Suite = Shared private bathroom,
Apartment = Bathroom and kitchen, House = built for a single group

Name ID number Grad year Priority Number

____________________________________________ _____
____________________________________________ _____
____________________________________________ _____
____________________________________________ _____
____________________________________________ _____
____________________________________________ _____
7.____________________________________________ _____
8.____________________________________________ _____
TOTAL POINTS _____________
TOTAL POINTS ________

NAME ID NUMBER GRAD YR Priority #

Primary Contact person for this application ___________________________
(This person may serve as proxy)

Is this a Gender Inclusive Housing application? ___________
_____ I have thoroughly read the Juniata College Gender Inclusive Housing Policy and I agree to comply with the terms as outline in the policy. I also understand that Juniata College strongly discourages students who are involved in a romantic relationship from living together in college housing.
While the Office of Residential Life does not inform parents, guardians or families of your choice to live in gender inclusive housing, we recommended that you share this housing choice with your parents/guardians.

Office use only****
Total _________________
Average priority _________________
Room Assignment _________________

Room Deposit

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Volume 1, Issue 1