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Residence Hall Accommodations
Name:
UA Student ID #
Gender
Female
Male
Email:
Home Phone
Work or Cell Phone
Disability or Medial Condition (information should be pertinent to your request for a residence hall accommodation)
Is your disability documentation on file with UA Disability Resources?
Yes
No
Accommodation Request:
Wheelchair accessible room / accessible community bathroom
Wheelchair accessible room / accessible suite bathroom
Wheelchair accessible single / private accessible bathroom
Room equipped witha fire alarm strobe
Suite bathroom (usually shared by 4 persons)
Single room, community bathroom
Single room, suite bathroom
Single room, private bathroom
Extra refrigerator for medication / dietary requirements
Guaranteed roommate request
Other
Explain:
List 5 residence hall preferences also submitted on your residence hall application:
1:
Select Residence Hall
Apache Santa Cruz
Arizona Sonora
Babcock
Chochise
Coconino
Colonia de la Paz
Coronado
Gila
Graham-Greenlee
Hopi
Kaibab-Huachuca
Manzanita-Mohave
Maricopa
Navajo Pinal Stadium
Pima
Posada San Pedro
Pueblo de la Cienega
Sky View Apartments
Villa del Puente
Yavapai
Yuma
2:
Select Residence Hall
Apache Santa Cruz
Arizona Sonora
Babcock
Chochise
Coconino
Colonia de la Paz
Coronado
Gila
Graham-Greenlee
Hopi
Kaibab-Huachuca
Manzanita-Mohave
Maricopa
Navajo Pinal Stadium
Pima
Posada San Pedro
Pueblo de la Cienega
Sky View Apartments
Villa del Puente
Yavapai
Yuma
3:
Select Residence Hall
Apache Santa Cruz
Arizona Sonora
Babcock
Chochise
Coconino
Colonia de la Paz
Coronado
Gila
Graham-Greenlee
Hopi
Kaibab-Huachuca
Manzanita-Mohave
Maricopa
Navajo Pinal Stadium
Pima
Posada San Pedro
Pueblo de la Cienega
Sky View Apartments
Villa del Puente
Yavapai
Yuma
4:
Select Residence Hall
Apache Santa Cruz
Arizona Sonora
Babcock
Chochise
Coconino
Colonia de la Paz
Coronado
Gila
Graham-Greenlee
Hopi
Kaibab-Huachuca
Manzanita-Mohave
Maricopa
Navajo Pinal Stadium
Pima
Posada San Pedro
Pueblo de la Cienega
Sky View Apartments
Villa del Puente
Yavapai
Yuma
5:
Select Residence Hall
Apache Santa Cruz
Arizona Sonora
Babcock
Chochise
Coconino
Colonia de la Paz
Coronado
Gila
Graham-Greenlee
Hopi
Kaibab-Huachuca
Manzanita-Mohave
Maricopa
Navajo Pinal Stadium
Pima
Posada San Pedro
Pueblo de la Cienega
Sky View Apartments
Villa del Puente
Yavapai
Yuma
If you have a room mate request, please give:
Room Mate Name
Room Mate Student ID
Have you submitted your housing application to Residence Life?
No
Yes
Date application was submitted: