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New Student Housing Form - Fall 2020/Spring 2021
Living on campus is a great way to get the most out of your Millsaps experience. Research shows us that students who live on campus have better academic and social experiences.
Residence Life provides equal on-campus housing opportunities without regard to race, color, religious affiliation, national origin, disability, veteran status, sexual orientation, gender identity, or age.
If you have any questions about your housing, please call us at 601.974.1200 or email us at
housing@millsaps.edu
.
Note: This form contains several links. Please right click and open these links in new tabs or risk losing all completed content.
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Student Information
Entry Term
2021 Spring
First Name
Preferred First Name
Middle Name
Last Name
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
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1907
1906
1905
1904
1903
1902
1901
1900
Email Address
Birth Sex
Female
Male
Gender Identity
Woman
Man
Gender Non-Conforming (Use Box Below)
Gender Other:
Marital Status
Single
Married
Classification
First Year (Freshman)
Transfer
Graduate
International Student Exchange Program (ISEP)
Religious Preference
Cell Phone Number
May we send text messages to this number regarding events on campus?
Yes
No
Student Contact Information:
Student Home Address
Student Home Address
Country
Street
City
Region
Postal Code
Emergency Contact Information:
Contact 1: Name
Contact 1: Relationship to Student
Contact 1: Phone Number
Contact 2: Name
Contact 2: Relationship to Student
Contact 2: Phone Number
Roommate Matching and Housing Assignments
The information requested below will be kept private and only used by the appropriate College officials. All housing assignments are made based on information provided by the applicant. Responses to the questions below are the major component in roommate matching. Please make sure that your answers are thoughtful and accurate.
Do you have any physical, psychosocial, or medical conditions that could impact your housing assignment or roommate matching process? If "YES," one of our staff members will contact you to discuss your situation privately.
Yes
No
Smoking habits:
I am a smoker.
I am a non-smoker.
I go to bed:
Early (before midnight)
Late (after midnight)
Study habits:
I study with noise (music, TV).
I do not study with noise.
I sometimes study with noise.
Please rate yourself on a scale of 1-5 on how neat you are.
1 - Messy
2
3
4
5 - Neat
List the activities in which you were involved at your previous institution and any community activities in which you participated:
The following information is of great importance. Please elaborate thoroughly and be specific as this information will be used in making room assignments and roommate selections.
List and describe your personality characteristics that will help us with roommate matching:
Roommate Assignment Preferences
Bedtime?
go to bed early
go to bed late
unimportant
Study in silence or with noise?
not study with noise
study with noise
unimportant
Use room for studying or socializing?
use the room to study
use the room for socializing
unimportant
Roommate an athlete or non-athlete?
be an athlete
be a non-athlete
unimportant
Roommate neat or messy?
be neat
be messy
unimportant
List any preferences or personality characteristics that you are looking for in a roommate:
Roommate Requested (if any):
First Name
Last Name
Building Assignment Preferences
Find out more about the residence halls
.
The
Wellspring program
is a service based living-learning community for first year residents and those selected to participate in the program. A supplemental application must be completed and submitted to be considered for the Wellspring Program.
Please identify your building preferences after reviewing the various
costs
. You may select up to three options. Please note that we cannot guarantee any building assignments since they are made based on available space.
Please select from the following residence halls: Bacot, Charles, Ezelle, Goodman, John, New South, Sanderson, Susanna
My first preference is (select one):
Bacot
Charles
Ezelle
Goodman
John
New South
Sanderson
Susanna
My second preference is (select one):
Bacot
Charles
Ezelle
Goodman
John
New South
Sanderson
Susanna
My third preference is (select one):
Bacot
Charles
Ezelle
Goodman
John
New South
Sanderson
Susanna
Meal Plan
A
meal plan
is required for all students living on campus. Please read about the options, and select the plan you wish to have for the upcoming semester. Please note: meal plans may
not
be made after the 2nd Friday of each semester.
I choose the following meal plan:
I choose the following meal plan:
Meal Plan 17 meals per week at dining halls and $200 dining dollars
Meal Plan 19 meals per week at dining halls and $100 dining dollars
All-Access Meal Plan - Unlimited visits to dining halls and $25 dining dollars
Housing Contract
See the
2020-21 Millsaps Housing Contract
and other Residence Life policies listed in the
Major Facts
. I understand that assignments are made without regard to age, race, color, religion, sexual orientation, veteran status, or national origin and that once housing assignments are made, changes will not be considered until after the second week of school and must be approved by the Office of Residence Life.
By clicking yes, I acknowledge that I have read and agree to the above Housing Contract.
By clicking yes, I acknowledge that I have read and agree to the above Housing Contract.
Yes.
If you identify as a transgender or non-binary student who has specific housing needs, please contact Millsaps Housing. Residence Life recognizes and respects the gender identity that students have established with the department and addresses inquiries on a case-by-case basis.
Please add any additional comments or requests below:
Authorization and Signature
I certify that all information submitted in this form is my own work, factually true and honestly presented.
All recommendations are subject to verification of authenticity without notice. Any attempt to fraudulently complete the online recommendation will impact the student's potential admission decision.
*Signature (please enter your full name)
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