Housing Preference Form

Residence Life at Asbury

Living on campus is an important part of the Asbury University experience. Our primary goal in Residence Life is to create and maintain a God-honoring community with an appropriate mix of challenge and support, designed to strengthen relationships. Our upperclassmen and student staff live throughout our residence halls, as we value the support and guidance they offer our new students.

Your Information

* First Name:

Middle Name:

* Last Name:

* Marital Status:

* Sex:

* Which semester are you applying for?

* Select your class level for the next semester:

Major:

* Birthdate:

Asbury Email Address (if you are a new student and have not been given your Asbury email address yet, leave this field blank):

Cell Phone #:

Mailing Address

Country

Street

City

Region

Postal Code

All full-time students are expected to live in on-campus housing. To be eligible to apply to live off campus, students must meet at least one of the following criteria:

Please read the following exceptions carefully before completing the following application.

Students who are classified as “INDEPENDENT”. (This is a legal designation through the financial aid office.)
Students who are 23 or older. ** A copy of your ID is required with this exception
Students who live with parents, close relatives or a legal guardian. ** A confirmation letter from a parent or legal guardian is required with this exception.
Students who are working in an approved home for their room and board, but who make no cash payment for said room and board. ** A letter from a parent or legal guardian is required with this exception. ** A letter from the approved home is required stating the living arrangements and that NO CASH PAYMENT is being received from the student.
Students who are fifth year seniors.
Students who are getting married.

Off-Campus Housing

* Do you meet any of the criteria above and wish to live off-campus?

Yes

Please indicate which criteria you meet if you would like to live off campus.

Date of wedding:

Name of fiance:

**ALL SUPPORTING DOCUMENTATION SHOULD BE SUBMITTED WITH YOUR APPLICATION**

Please upload supporting documents here:

Hours Being Attempted:

Have you been approved to live off campus before?

Yes

How many semesters?

Asbury University ID #:

Parent(s) Name:

Parent(s) Telephone:

Parent(s) Address:

Country

Street

City

Region

Postal Code

Where do you wish to live off campus?

Country

Street

City

Region

Postal Code

Residence Telephone:

Owner's Name:

Telephone:

Type of Facility:

With whom will you live? Give number of persons, names, etc.

What is the relationship with the person(s) with whom you will live?

I have read the front of this application and I agree to the conditions as stated. I understand that students who live off campus are expected to abide by the same standards of conduct as those who live on campus and I agree to do so.

Type your name to indicate you agree with the above statement.

State clearly your reason(s) for asking for permission to live off campus.

When you submit this form, Asbury University collects the information you provided. View our data privacy policy here.