Application

Thank you for your interest in Presby Hall! Please complete the form below; there is no application fee and submission of the application does not commit you to living at Presby. Note: if your email address ends with qq.com, please use a different account as we are unable to send emails to those accounts.

Name *

First

Last

Email *

Phone *

University Identification Number (UIN)

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *//

High School Name

Which Semester Are You Applying For? *

How did you hear about Presby Hall? *

Gender *

Guarantor Name

First

Last

Guarantor Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact *

First

Last

Emergency Contact Phone *

Emergency Contact Email *

Room Preference *

Payment Plan *

Preferred Roommates

Phone