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Students

Single Occupancy Waiting List Request


Note:  You will not be placed on the single waiting list if you do not have an active residence hall contract.

Student Information
First:
Middle Initial:
Last
University ID:

Residence Hall Information (if applicable)
Room Number/ Street Address:
Hall:
Campus Phone:

Preferred Method of Contact (please enter one or both of the following)
Home/Cell Phone (e.g. xxx-xxx-xxxx):
Email:

Place my name on the waiting list for:

I am requesting a single in the following areas:



A University Housing Services staff member will contact you by telephone if/when a single is available for you.


Anti-SPAM Code This box must be left blank to submit this form. If you enter anything into this box, your form will be rejected.


Illinois State University Homecoming 2009

Office of Residential Life Building
Campus Box 2600
Normal, IL 61790-2600
Main: (309) 438-8611
TDD: (309) 438-8177
Fax: (309) 438-8866

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