Graduate Summer Housing Participation Form

Summer housing will be available to all graduate students currently residing in the Regent Village.

Student Name*
First Middle Last
Banner ID#*
Current Housing Assignment (Building/Rm. #)*
Gender*
- Male
- Female
Date of Birth*
Month
Day
Year
Phone Number*
Regent Email*
Reason(s) for Summer Housing*
By signing and submitting this form you are indicating that you plan to reside in on-campus student housing for the summer months of 2023 (May – August).

By NOT signing and submitting this form you are agreeing that you will NOT have a 2023 summer campus housing assignment.
Signature
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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Functional

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Others

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Cookie	Duration	Description
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_uetvid	1 year 24 days	No description available.
barometric[cuid]	1 year	No description available.
barometric[idfa]	past	No description
BIGipServer~VCC-WEB-INFRASTRUCTURE~defaultV10UIPool	session	No description available.
cg_uuid	1 year	No description available.
guid	2 years	No description
monsido	1 month	No description available.
rt	2 years	No description available.
SMSESS	session	No description available.
Sreferrer	1 month	No description available.
sstrack	1 year	No description available.
TS01a861d0	session	No description available.
tt	2 years	No description available.