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.

Student Information

Entry Term

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Email Address

Birth Sex

Gender Identity

Gender Other:

Marital Status

Classification

Religious Preference

Cell Phone Number

May we send text messages to this number regarding events on campus?

Student Contact Information:

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.

Smoking habits:

I go to bed:

Study habits:

Please rate yourself on a scale of 1-5 on how neat you are.

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?

Study in silence or with noise?

Use room for studying or socializing?

Roommate an athlete or non-athlete?

Roommate neat or messy?

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):

My second preference is (select one):

My third preference is (select one):

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:

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.

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)