Complete the form and click next at end of form (no application fee required)
Double check all spelling and be as complete as possible.   

Personal Data
Your Full Legal Name:
  Last Name (Family Name or Surname) First Name Middle Name Suffix

Class Standing:        FR   SO  JR   SR   GR

Date of Birth:      Gender:   Male     Female
  Month Day Year  

E-Mail Address:      FAX number:   
 (If available)  (If available)

Home Address:
 Number and Street City State Zip Code Country (if not USA)

Phone Numbers:  
   Home Phone Cell Phone (if available) Work Phone (if available)

Emergency / Guardian Address:
 Number and Street City State Zip Code Country (if not USA)

Emergency Phone Number:              

Residence Hall Information
Contract Selection:   

Admissions Status:

Roommate Preference:
  Last Name (Family Name or Surname) First Name Middle Name

A room deposit of $100 has been sent?   Yes     No
If no, expected date of receipt  

*In order to reserve a room, your room deposit must be received. If you decide to no longer attend SWAU and have already mailed your deposit, you have until AUGUST 10th to request a REFUND. Please mail your deposit to the provided address, labeled: �For room deposit� with your SSN/ID# clearly marked on your personal check or money order.

About your habits: Please check ALL that best describe you:
1.  I try to keep my room:  very clean   clean   reasonably orderly   picked up once in a while
2.  In music, I prefer: Christian/Gospel   Classical   Country   Popular   R&B   All
3.  I enjoy playing music: All the time   expect when studying   except when sleeping   no
4.  I prefer to: stay up late   sleep early   rise early   rise late
5.  I am a: light sleeper   heavy sleeper
6.  I expect to take a: heavy load   moderate load   light load of class work
7.  I prefer to study: in my room   in the library   elsewhere

About you: Please check the word(s) that best describe you:
1.  Lifestyle Attributes:  Conservative   Liberal   Moderate
2.  Religious Affiliation: Seventh-day Adventist   Other specify:
3.  Ethnic Background: Caucasian   Asian   Hispanic   African-American   Pacific Islander   Other:
4.  Study Habits: Studious   Study when needed

Student Pledge

By submitting this you agree to the rules of the Residence Hall. I,  understand that I am responsible to abide by the expectations outlined in the Residence Hall Handbook realizing that the guidelines are always effective throughout the year, including vacations and summers.

Upon receipt and processing of your housing application, Southwestern Adventist University will prepare a room assignment if accommodations are available. Housing is only guaranteed when we receive and process your application and room deposit, so do not delay. Policies and rates are subject to change without prior notification.

By electronically submitting this application, I certify that the above statements are correct and complete.   I understand that incomplete or false information may make me ineligible for admission to or continuation at Southwestern Adventist University.