Presby Hall Application - Apply to Lease a Suite

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)

Net ID (first part of illinois.edu email address) *

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? *

What year will you be for 2019-2020 term? *

How did you hear about Presby Hall? *

Gender *

Parent/Guardian (Guarantor) Name *

First

Last

Parent/Guardian (Guarantor) Phone *

Parent/Guardian (Guarantor) Email *

Room Preference *

Payment Plan *

Preferred Roommates

Phone