New Student Housing Form - Fall 2023/Spring 2024

Student Information

Entry Term

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Personal Email Address

Birth Sex

Gender Identity

Marital Status

Classification

Cell Phone Number

Student Contact Information:

Student Home Address

Country

Street

City

Region

Postal Code

Housing Preferences

Please learn more about our housing options here.

Incoming Student Type

Do you want to live in a single room or have a roommate?

I would like a roommate

I would like a single

Single rooms are available in John, Charles, and Susanna Halls for the listed housing rate.
Double occupancy rooms may be converted into single occupancy at 1.5 the standard housing rate in Becky Bacot, R.L. Ezelle, and Ann Sanderson Halls.

My preferred room type is:

Double Occupancy Room with Community Style Bathroom ($3975 per semester)

Double Occupancy Room with Suite Style Bathroom – 4 people per restroom ($4915 per semester)

Double Occupancy Room with Shared Living Space – 2 people per restroom ($4915 per semester)

Private Room with Shared Living Space – 4 people per restroom ($5175 per semester)

Private Room with Suite Style Bathroom – 2 people per restroom ($5690 per semester)

My preferred building is:

Preferred floor for first preference:

Do you want to live in a single room or have a roommate?

I would like a roommate

I would like a single

Double occupancy rooms may be converted into single occupancy at 1.5 the standard housing rate in Becky Bacot and R.L. Ezelle only.

My preferred room type is:

Bacot & Ezelle Halls: Double Occupancy Room with Community Style Bathroom ($3975 per semester)

New South Hall: Double Occupancy Room with Suite Style Bathroom – 4 people per restroom ($4915 per semester)

Bacot & Ezelle Halls: Private Room with Community Style Bathroom – ($5962.50 per semester)

My preferred building is:

Preferred floor for first preference:

Do you require an ADA accessible room due to a documented medical condition or disability?

Yes

Roommate Preferences

Do you have a preferred roommate (they must also list you on their housing application)?

Yes

First Name

Last Name

Preferred wake-up schedule:

I would like a room with an individual with similar wake-up schedule?

Please indicate your preferred bedtime.

I would like a room with an individual with a similar bedtime.

Please indicate how you study:

I would like a room with an individual with similar noise preference while studying:

I like to socialize in my dorm room.

I would like to room with an individual who likes to socialize in the room.

I prefer to use my dorm room for studying.

I would like to room with an individual who prefers to use the room for studying.

Are you a student athlete?

Please select your varsity team(s):

I would like to room with an individual on the following team:

Please indicate your academic pathway:

I would like to room with an individual on a similar pathway.

Please indicate your religious preference:

I would like a room with an individual with similar religious preferences:

At a social event I typically:

Do you smoke or vape?

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 changed after the 2nd Friday of each semester.

I choose the following meal plan:

All Access (MPAA): $3,130 (unlimited meal swipes plus $25 dining dollars)

Unlimited Plus (MPUP): $3,380 (unlimited meal swipes plus $300 dining dollars)

Housing Contract

See the 2023-24 Millsaps Housing Agreement 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 Student Life.

By clicking yes, I acknowledge that I have read and agree to the above Housing Agreement.

Yes.

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)