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Mrs.
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Last name:
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Address:
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West Bank
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Zimbabwe
Phone number (with area code):
Cell Phone (with area code):
FOR FEMALE APPLICANTS ONLY Are you currenly living at Lindsay Hall?
Yes
No
Permanent Address
Check if same as above
 
Address:
City:
State/Province: (if U.S. or Canada)
-
AF - Americas (except Canada)
AF - Europe,Middle East,Canada
AF - Pacific
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Australian Capital Territory
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Foreign Country
Foreign State
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
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New Mexico
New South Wales (Australia)
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Northern Mariana Islands
Northern Territory (Australia)
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Nova Scotia
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Ohio
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Palau
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Puerto Rico
Quebec
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Rhode Island
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South Australia
South Carolina
South Dakota
Tasmania (Australia)
Tennessee
Texas
Trust Territories
Utah
Vermont
Victoria (Australia)
Virgin Islands
Virginia
Washington
West Virginia
Western Australia
Wisconsin
Wyoming
Yukon
Zip/Postal code: (if U.S. or Canada)
Country (if non-U.S.):
-
Afghanistan
Akrotiri (UK)
Albania
Algeria
American Samoa (US)
Andorra
Angola
Anguilla (UK)
Antarctica (--)
Antigua and Barbuda
Argentina
Armenia
Aruba (NL)
Ashmore/Cartier Islands (AS)
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda (UK)
Bhutan
Bolivia
Bosnia-Hercegovina
Botswana
Bouvet Island (NO)
Brazil
Brit Indian Ocean Terr (UK)
British Virgin Islands (UK)
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia (Kampuchea)
Cameroon
Canada
Cape Verde
Cayman Islands (UK)
Central African Republic
Chad
Chile
China, Peoples Republic of
Christmas Island (AS)
Cocos (Keeling) Islands (AS)
Colombia
Comoros (Island)
Congo, Dem Republic Of (Zaire)
Congo, Republic Of
Cook Islands (NZ)
Coral Sea Islands (AS)
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Dhekelia (UK)
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (formerly Swaziland)
Ethiopia
Falkland Islands (UK)
Faroe Islands (DA)
Fiji
Finland
France
French Guiana (FR)
French Polynesia (FR)
French S. Antarctc Lands(FR)
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibralter (UK)
Greece
Greenland (DA)
Grenada
Guadeloupe (FR)
Guam (US)
Guatemala
Guernsey (UK)
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands(AS)
Holy See (Vatican City)
Honduras
Hong Kong (CH)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man (UK)
Israel
Italy
Jamaica
Japan
Jersey (UK)
Johnston Atoll (US)
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, Republic of
Kosovo
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau (CH)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (FR)
Mauritania
Mauritius
Mayotte (FR)
Mexico
Micronesia, Federated States
Midway Islands (US)
Moldova
Monaco
Mongolia
Montenegro
Montserrat (UK)
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Navassa Island (US)
Nepal
Netherlands
New Caledonia (FR)
New Zealand
Nicaragua
Niger
Nigeria
Niue (NZ)
Norfolk Island (AS)
North Macedonia
Northern Mariana Islands(US)
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paracel Islands (CH)
Paraguay
Peru
Philippines
Pitcairn Islands (UK)
Poland
Portugal
Puerto Rico (US)
Qatar
Reunion (FR)
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (NL)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Barthelemy (FR)
St Helena (UK)
St Kitts and Nevis
St Lucia
St Martin (FR)
St Pierre and Miquelon (FR)
St Vincent & the Grenadines
Sudan
Suriname
Svalbard (NO)
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau (NZ)
Tonga
Trinidad and Tobago
Trust Terr Pacific Isl. (US)
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands(UK)
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu (New Hebrides)
Venezuela
Vietnam
Virgin Islands (US)
Wake Island (US)
Wallis And Futuna (FR)
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Phone number (with area code):
Personal Information
Curriculum to which admitted:
Country of citizenship:
-
Afghanistan
Akrotiri (UK)
Albania
Algeria
American Samoa (US)
Andorra
Angola
Anguilla (UK)
Antarctica (--)
Antigua and Barbuda
Argentina
Armenia
Aruba (NL)
Ashmore/Cartier Islands (AS)
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda (UK)
Bhutan
Bolivia
Bosnia-Hercegovina
Botswana
Bouvet Island (NO)
Brazil
Brit Indian Ocean Terr (UK)
British Virgin Islands (UK)
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia (Kampuchea)
Cameroon
Canada
Cape Verde
Cayman Islands (UK)
Central African Republic
Chad
Chile
China, Peoples Republic of
Christmas Island (AS)
Cocos (Keeling) Islands (AS)
Colombia
Comoros (Island)
Congo, Dem Republic Of (Zaire)
Congo, Republic Of
Cook Islands (NZ)
Coral Sea Islands (AS)
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Dhekelia (UK)
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (formerly Swaziland)
Ethiopia
Falkland Islands (UK)
Faroe Islands (DA)
Fiji
Finland
France
French Guiana (FR)
French Polynesia (FR)
French S. Antarctc Lands(FR)
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibralter (UK)
Greece
Greenland (DA)
Grenada
Guadeloupe (FR)
Guam (US)
Guatemala
Guernsey (UK)
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands(AS)
Holy See (Vatican City)
Honduras
Hong Kong (CH)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man (UK)
Israel
Italy
Jamaica
Japan
Jersey (UK)
Johnston Atoll (US)
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, Republic of
Kosovo
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau (CH)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (FR)
Mauritania
Mauritius
Mayotte (FR)
Mexico
Micronesia, Federated States
Midway Islands (US)
Moldova
Monaco
Mongolia
Montenegro
Montserrat (UK)
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Navassa Island (US)
Nepal
Netherlands
New Caledonia (FR)
New Zealand
Nicaragua
Niger
Nigeria
Niue (NZ)
Norfolk Island (AS)
North Macedonia
Northern Mariana Islands(US)
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paracel Islands (CH)
Paraguay
Peru
Philippines
Pitcairn Islands (UK)
Poland
Portugal
Puerto Rico (US)
Qatar
Reunion (FR)
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (NL)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Barthelemy (FR)
St Helena (UK)
St Kitts and Nevis
St Lucia
St Martin (FR)
St Pierre and Miquelon (FR)
St Vincent & the Grenadines
Sudan
Suriname
Svalbard (NO)
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau (NZ)
Tonga
Trinidad and Tobago
Trust Terr Pacific Isl. (US)
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands(UK)
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu (New Hebrides)
Venezuela
Vietnam
Virgin Islands (US)
Wake Island (US)
Wallis And Futuna (FR)
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Birth date:
Month
None
January
February
March
April
May
June
July
August
September
October
November
December
Day
None
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year(YYYY)
Religious affiliation:
Gender:
Male
Female
E-mail address:
Emergency Contact (other than yourself)
Contact name:
Phone number (with area code):
Preferences
All apartments are shared with either 3 or 4 occupants.
Single Occupancy = Occupant has their own bedroom.
Double Occupancy = Occupant shares bedroom with one other person.
Bathroom and common living areas shared in all apartments.
What is your bedroom preference?
Single Bedroom preferred
Double Bedroom preferred
Single preferred, will accept double
Double preferred, will accept single
Choice of Roommate:
How neat and clean do you keep your room?
My room is ALWAYS neat and clean
My room is neat and clean MOST OF THE TIME
My room is neat and clean SOME TIMES
My room is NEVER neat and clean