0% found this document useful (0 votes)
11 views

Wait List Form Fall 2010

John Tibbs has submitted a wait list form to request fall 2010 on-campus housing at Binghamton University. He is a returning/readmitted student after a leave who does not smoke and does not want a roommate who smokes. If a space becomes available, he will be notified by email and have 24 hours to respond before being placed at the bottom of the wait list.

Uploaded by

Prince John
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
11 views

Wait List Form Fall 2010

John Tibbs has submitted a wait list form to request fall 2010 on-campus housing at Binghamton University. He is a returning/readmitted student after a leave who does not smoke and does not want a roommate who smokes. If a space becomes available, he will be notified by email and have 24 hours to respond before being placed at the bottom of the wait list.

Uploaded by

Prince John
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

BINGHAMTON UNIVERSITY

Office of Residential Life


WAIT LIST FORM TO REQUEST FALL 2010
ON CAMPUS HOUSING

PLEASE PRINT
NAME
__________John_Tibbs______________________________________BU#_________B00210296_______________
____________

MALE ___X_ FEMALE _____ DO YOU SMOKE? _____ YES __X___ NO


WILL YOU LIVE WITH SOMEONE WHO SMOKES?
___YES__X_NO

E-MAIL ADDRESS [email protected]

MAILING ADDRESS _________100 _Columbus Avenue, Apt. 1I


_____________________________________________________________

______________________________________________________________________

PHONE/CELL PHONE NUMBER___________914 482 3406


___________________________________________________

Check One: ____New Jan 10 transfer student _____Currently live on campus but did not pay deposit

__X__Fall 2010 re-admit/returning after leave _____Currently live on campus but forgot to sign
up

___ Currently live off campus

I AM REQUESTING TO BE PLACED ON THE HOUSING WAIT LIST FOR:

__X___ ANY AVAILABLE SPACE or

_____ SPECIFIC COLLEGE/COMMUNITY ________________________________________________

HALL/BUILDING___________________________________________ROOM/APT__________

IF THERE ARE OTHER SPECIFIC CRITERIA (i.e. specific type of room – designed single, double - or roommate
request, etc.) YOU WISH TO HAVE CONSIDERED, PLEASE STATE THEM BELOW:

You will be notified via your BU e-mail if there is a space to offer you.
You will then have 24 hours to respond to the Office of Residential Life.
If we do not hear from you within the 24 hour time period,
your name will be placed at the bottom of the wait list.

SIGNATURE _____________John Tibbs ________________________________________ DATE


___________7/27/10_____________
-------------------------------------------------------------------------------------------------
OFFICE USE ONLY

Date Received ___________________________ Time Received _____________________________ Wait List # ___________________

Date Called ______________________________ Space Reassigned To: ____________________________________________________

You might also like