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Graduate Students — Housing Application

East Apartments

Items in bold are required. 


For which semester are you applying for housing?   
First Name   
Middle Name  

Last Name 

 
Current Campus Address or Off-Campus Address   
Cell Phone   
E-mail Address   
Alternate E-mail Address   
Gender 
       

The following Immunization requirements are consistent with West Virginia State Law and with the recommendations of the American College Health Association and the Advisory Committee on Immunization Practices.  Read more about our Immunization Policy.  Download the Immunization form.

Documentation MUST BE SUBMITTED prior to housing assignments being completed.

 
  For the following 3 items, please indicate if you have had your Immunization vaccinations. 
MMR (measles, mumps and rubella)
 
  
Hepatitis B    
Meningococcal meningitis    
   
Emergency Contact's Name   
Emergency Contact's Relationship   
Emergency Contact's Primary Phone   

Health Insurance Company name 

  

Policy Number 

  

Group Number 

  

Health Insurance Company Phone Number 

  

Primary Care Physician Name 

  

Primary Care Physician Phone 

  

 
List any medical conditions, allergies, and/or medications that the University should be aware of in case of emergency (if none exist, type none) 

Medical Conditions  (if none exist, type none) 

   
Student Status 
           
 
Select Lease Type 

    NEW Students may ONLY select the 9-month lease option!

     
 

Apartments 

At this time we do not have any efficiency, one-bedroom or two-bedroom apartments available. 

 

 Efficiency Apartment (1 person) $2,550/semester and $510.00/month for June and July

 One-Bedroom Apartment or Married Apartment (1 person or married couple) $3,952/semester and $790.50/month for June and July

 Two-Bedroom Apartment (2 persons) $3,442/semester/person and $688.50/month for June and July

 Four-Bedroom Apartment (4 persons) $3,250/semester/person and $650/month for June and July

Meal Plan Option 

First-year students may only select 1,2, or 3.

Upperclassmen may select 1,2,3, or 4.

Only apartment dwellers may select from all 6.

 

 

 

 

Do you plan to register an automobile on campus? 
                                             
 

Roommates

If you have chosen a two-bedroom or four-bedroom apartment, please list your roommate name(s), current address(es), and contact phone number(s). If you are married, list your spouse's name and address (List as "Spouse"). NOTE: Graduate students who wish to live together must list each other as desired roommates in their applications. Applicants must be graduate students (spouses do not need to be graduate students).

Name(s), Address(es), and phone number(s) of Desired Roommates

If you are married, enter your spouse's name, address, and phone number.

 

Agreement

I agree that checking this box and completing a housing application constitutes an agreement to comply with the terms and conditions of the Housing Contract and the policies and procedures of the University of Charleston. 


                                     

After clicking "Submit," if you are not taken to a page indicating your application has been received within 10 seconds, then you have not filled in all required fields. Please check your entries and then submit.