Personal Information
Full Name
  image indicating First Name is required
  image indicating Last Name is required
System Identification Number
Please create an identification number for yourself. It needs to start with 'X' followed by 6 digits (ie, X081097). You do not need to remember this number. This just creates an account for you in our housing database.
image indicating University ID is required
Address
  image indicating Address1 is required
 
  image indicating City is required
  image indicating State is required
  image indicating Zip Code is required
 
Email Address(es)
image indicating Campus Email is required
Phone Number(s) Format - 999-999-9999
  image indicating Cell Phone is required
 
Date of Birth
image indicating Birth Date is required
Gender Identity
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