Housing Contract

Fields marked with an * are required

Personal Information

Email Address *

First Name *

Middle Name

Last Name *

Birthdate *

Cell Phone *

Mailing Address *

Country

Street

City

Region

Postal Code

Building Preference

Building preference for first year students will be taken into consideration as available by date of paid housing deposit and housing contract. Please use this link to view housing costs by building and room type. All first year students are required to have a roommate unless a medical accommodation is approved.

Mary Benedict Hall is a traditional style hall with mostly double rooms, common area showers and bathrooms on each wing, sinks in rooms, laundry on the lower level, roof top deck. The Lion’s Den game and activity space is located on the lower level.

Mary Josita Hall is a traditional style hall with mostly double rooms and common area showers and bathrooms on each wing with laundry on the lower level. The dining hall and wellness center are located on the lower level.

Building preferences will be taken into consideration for transfer students by date of paid housing deposit and housing. Please use this link to view housing costs by building and room type.

Mary Benedict Hall is a traditional style hall with mostly double rooms, common area showers and bathrooms on each wing, sinks in rooms, laundry on the lower level, roof top deck. The Lion’s Den game and activity space is located on the lower level.

Mary Josita Hall is a traditional style hall with mostly double rooms and common area showers and bathrooms on each wing with laundry on the lower level. The dining hall and wellness center are located on the lower level.

Mary Frances Hall is a traditional style upper-class student hall located adjacent to the Kehl athletic center and Student Activity Center. The room are mostly single room with common area bathrooms and showers.

Preference 1*

Preference 2*

Preference 3*

Housing Information

Assignment Period *

Resident Status *

Room plans may be viewed online HERE.

Preferred Room Type *

Meal Plan Selection *

Meal plans may be viewed online HERE.

19 meals per week is eating 3 meals a day.
14 meals per week is eating 2-3 meals a day.
10 meals per week is eating 2 meals a day.
75 meals per semester (Apartment / Commuter meal plan)

If special housing accommodations or adjustments are necessary because of a disability (significant impact to living, learning, working caused by physical or mental health concern, allergy, etc.), please fill out the form linked here to request. Once the form is received, the coordinator of disability services will reach out to discuss the process.

Residence Life will recognize and respect the gender identity that students self-identify. Students may contact the Residence Life office if they wish to receive special housing considerations regarding their gender identity.

Gender *

Roommate Preference Questionnaire

Smoking *

Cleanliness *

Room Environment *

What are your favorite interests and activities?

What type of music do you listen to?

Personal Hours *

I plan to go home *

Socializing in the halls *

Roommate relationship *

If you have a preference of a roommate, please list here Both persons must request each other.

Is there anything else you would like us to know as we determine room assignments and roommate pairings?

Signature

Room and Meal plan prices may be viewed online HERE.

Residence Hall Contract Terms and Conditions

Terms and Conditions *

I verify I have read and understand the above terms and conditions and I am agreeing to them. *

This form, when submitted with appropriate electronic signature(s), is a request to rent Clarke University residence hall space.

Resident Signature *

Date*

Parent or Guardian Signature (If resident is under 18 years of age)

Date