Undergraduate Summer Housing Participation Form

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Summer housing will be available to eligible undergraduate students currently residing in the Regent Commons or Regent Village who meet one of the criteria listed below by April 1st:

be registered for on-campus courses for the 2024 summer semester (to be verified by Academic Advising)
be scheduled to work an on-campus job (to be verified by department supervisor)
be participating in an academic-related internship in the Virginia Beach/Hampton Roads area (to be verified by Academic Advising)

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Student Name*

First Middle Last

Banner ID#*

Class Rank*

Freshman

Sophomore

Junior

Senior

Current Housing Assignment (Building/Rm. #)*

Gender*

Male

Female

Date of Birth*

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Room Preference #1

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Room Preference #2

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Room Preference #3

Requested Roommate

Roommate requests must be mutual in order to be considered for assignment by Residence Life staff.

Phone Number*

Regent Email*

Reason(s) for Summer Housing*

Check all that apply.

On-Campus Courses

Campus Employment

University Approved Internship

Number of registered credits*

Must be at least one on-campus class for the summer term.

Campus Employer*

Employer Phone*

Academic Advisor*

Advisor Phone*

By signing and submitting this form you are indicating that you wish to be considered for on-campus student housing for the summer months of 2024 (May – August). If your request for summer housing is accepted, you will also be responsible for reviewing and signing the summer student housing agreement form.

Signature

Date*