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Housing Application

This application does NOT admit you to the University. Application for admissions to Salem University must be made separately. Advanced registration and housing deposit must be paid prior to submitting this form.

Step 1 of 2

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Your Name(Required)
MM slash DD slash YYYY

Academic Information

Are you a transfer student?(Required)
Class Standing(Required)
Will you be a student athlete at Salem University?(Required)

Permanent Address Information

Address(Required)

Emergency Information (in case of emergency contact)

Emergency Contact's Name(Required)
Emergency Contact's Address

Roommate Preferences

Is there someone you already have in mind as a possible roommate? If so, please list the name. We will try to honor you request. (Roommate requests must be mutual. If a roommate is not requested, one will be assigned.)
Are you a smoker?(Required)
Do you object to living with a smoker?(Required)
When do you go to bed?(Required)
Which describes you?(Required)
Would you describe your housekeeping habits as?(Required)
What kind of music do you like?(Required)
(check all that apply)
Deposit Acknowledgement(Required)
I understand that acceptance of this application does not guarantee assignment to a residence hall or admission to the University. I have also read and understand the terms of this application as stated under Residence Halls Policies. NOTICE: There is a $100.00 non-refundable fee to reserve your room at Salem. You may make this payment using a credit card by calling the Salem Business Office at 304.326.1310 or by sending a check or money order to Salem International University, attn.: Housing, 223 W. Main St., Salem, WV 26426.
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