Housing application form

We want YOU to live at Presby Hall for the 2010-11 school year. Submit the application below to let us know you're interested in living at Presby. There is no application fee, and the application does not commit you to living at Presby. After we receive your application, we will contact you by phone or email, depending on which one of these you select below. Thanks!

— Management team, Presby Hall

Can I view a sample lease?
Sure, here is a PDF of our standard lease. This lease is for reference only and should not be filled out. If your application is accepted, you will be provided a personalized lease document.
Personal information
University Identification Number - UIN
Used to verify student status		 Are you Currently a Resident of Presby Hall?*
First Name* How did you hear about Presby Hall?*
Middle Name Gender*
Last Name* Term you're applying for*
Date of Birth* Referred by
Permanent address
Street Address* City*
State/Province* Zip/Postal Code
Local address  (if different than permanent address)
Street Address City
State/Province Zip/Postal Code
Contact information
Permanent Phone* Local or Cell Phone
E-mail Address* Contact Preference
Parent/Guardian information
First Name* Last Name*
Phone* E-mail Address
Street Address* City*
State/Province* Zip/Postal Code
Emergency contact  (if different than parent/guardian)
First Name Last Name
Phone E-mail Address
Street Address City
State/Province Zip/Postal Code
Room preference
Room preference* Will you be a Freshman at the University of Illinois?*
Payment plan*  
Roommate matching
Preferred Roommates
(enter first/last names)


First year at Illinois?
Year in school you'll be
(in the term you're applying for)
Name of High School
Favorite Hobby #1 College or Department
Favorite Hobby #2 Intended Major
I'd describe myself as I'd describe myself as
I study in my room I prefer roommates that are
My current age It bothers me if others
I like to play music I have parties
I have friends over I smoke (Note: Presby Hall is a non-smoking building)