Residence Hall Application

1. Please send a $ 50 check or money order made payable to Southern Arkansas University as a deposit for Residence Hall accommodations to P.O. Box 9431, Magnolia, Arkansas 71754-9431

Contact Information

1. Last Name(required)
2. First Name(required)
3. Middle Name
4. SSN(required)
5. Street Address
6. City(required)
7. State(required)
8. Zip Code(required)
9. County/Country(required)
10. Telephone(required)
11. Date of Birth(required)
12. Gender Male Female (required)
13. Email(valid email required)

Term information

1. Classification next term (check all that apply)
2. First year Sophomore Junior
   Graduate Students Transfer student
3. Academic Year Academic Year 2010-2011 Summer Session I 2010 Only Summer Session II 2010 Only Summer Session I & II 2010 Spring 2011

About Me

1. I am currently living in SAU's residence halls.
2. PreferencesIndicate any special health problems or disabilities that should be considered in making your room assignment. If suitable space is available, your preference will be honored. Special medical needs require written verification from a physician.(required)
3. If you plan to participate in a varsity spot at SAU, name the sport:
4. Do you smoke?
5. Yes No
6. Would you prefer a roommate who smokes?
7. Yes No
8. Roommate Preference

Residential Interest Groups

1. Please select your top four interest group choices.
2. Please Select One Agriculture Best in Business Education First Year Experience Greek Groups Greene Light Art Health and Wellness Honors College Leadership College Nursing Performing Arts Residential College (required)
3. Please Select One Agriculture Best in Business Education First Year Experience Greek Groups Greene Light Art Health and Wellness Honors College Leadership College Nursing Performing Arts Residential College (required)
4. Please Select One Agriculture Best in Business Education First Year Experience Greek Groups Greene Light Art Health and Wellness Honors College Leadership College Nursing Performing Arts Residential College
5. Please Select One Agriculture Best in Business Education First Year Experience Greek Groups Greene Light Art Health and Wellness Honors College Leadership College Nursing Performing Arts Residential College
6. Other

Meal Plan Options

1. Please choose Unlimited meals Unlimited + $ 25 declining balance 10 meals + $ 90 declining balance (required)

Disclosures and Instructions

1. Please send a $ 50 check or money order made payable to Southern Arkansas University as a deposit for Residence Hall accommodations to P.O. Box 9431, Magnolia, Arkansas 71754-9431.
2. I understand that my $ 50 housing deposit will be refunded only if the contract for the term is cancelled by: August 1 for the Academic Year, January 1 for Spring only, May 1 for Summer I only, June 1 for Summer II only
3. I make this application with the understanding that my Housing - Food Services contract will be for the entire academic year of two semesters (August - May) if I enter in the fall, and for one semester (January - May) if I enter in the spring semester. If the housing application is accepted, I agree to abide by all the rules and regulations of Southern Arkansas University and the Department of Housing.

1. Type the following

 

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• Contact Information

  J Courson, Associate Dean
  Reynolds 202
  870-235-4047

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