University of Dubuque

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Housing Application

Complete the form below and press the submit button to send your information.

If you would prefer to download a pdf version of this application, please click here.



(Include area code) (Include area code)

Personal Information
In case of an emergency, the University may contact the following person:
Freshman Sophmore Junior Senior Graduate New Student Transfer Returning UD Student
University of Dubuque residence halls are according to the Student Handbook smoke free and alcohol free environments.

Yes No Yes No Yes No If Yes, please specify
Yes, I am interested in living with an international student.
No, not at this time.
No Preference

(We cannot guarantee that your request will be granted, but we will try to honor your request.)


Please respond to the following statements by checking the box to the right of each statement that is most characteristic of you. Remember that your responses to these questions will help us in selecting your roommate.
Never|
Rarely|
Sometimes|
Frequently|
Always
I get up early (before 8:00 a.m.).

I go to bed late (after 11:00 p.m.).

I keep my room neat and clean.

I am comfortable with other people using my belongings.

I like to study in absolute silence.

I like to play my stereo loud.

I am comfortable in large groups of people.

I plan to participate in church-related activities.

I like to exercise on a regular basis.

I want my roommate to be one of my best friends.

I like to have people over to my room.

I am comfortable expressing my feelings.

I plan to go home on weekends.

I follow a schedule regularly.

IMPORTANT

After having read this application, I understand the above guidelines as stated and realize that upon check-in to the hall I will be required to sign a one academic year housing agreement.


We cannot process your application without your verification below.

I have verified the information Date