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Please complete the following student information fields.

First Name

Last Name

Student ID Number

IC Email Address (include "@ithaca.edu")

Phone Number

I am a:

New First-Year Student
New Transfer Student
Continuing Student

I want to live in (Please Drag and Drop to Rank)

1 Emerson
2 Gardens
3 Circles
4 Terraces
5 Towers
6 Lower Quads
7 Upper Quads

I feel most comfortable in (Check all that apply)

Single

Coed-by-Door Floor or Apartment

Double

Female Floor or Apartment

Triple

Male Floor or Apartment

If you have identified a roommate, please share their name, student ID number, and Ithaca College Email Address

If you haven't identified a roommate, and want a double or triple room, please list what gender roommate you prefer

"I have reviewed this application and I wish to make a Transgender or Non-binary Housing Request. I understand filling out this form is voluntary and The Office of Residential Life will work to accommodate my housing needs, regardless of whether I decide to fill out this form. I understand the Office of Residential Life may consult with, Luca Maurer, the Director of the LGBTQ Education, Outreach and Services regarding this request. "

I Agree