Buena Vista University

Student Housing Application

all fields marked with an asterisk (*) are required

1. Personal Information

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2. Emergency Contacts

First Parent/Guardian

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Second Parent/Guardian

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3. Academic Information

For more information about BVU residence halls, visit bvu.edu/reslife.

If you know of new students enrolling at BVU, or returning BVU students, and both/all of you would like to room together, please enter their names below. Your preferred roommate must also complete a Housing Application by June 1. All roommates must inform us of the preference for the assignment to take place.

4. Roommate Preferences Survey

These preferences are used only as a guide. Successful living arrangements depend upon the dedication and work of all individuals. A part of living on campus is learning to appreciate differences and develop your life skills. Dealing with others will ultimately benefit you after your college experience. To make certain this questionnaire is as accurate and helpful as possible, we ask that you complete this form yourself — this questionnaire needs to reflect who you are as a person. Information contained within this form is for the sole use of the Office for Student Affairs in the housing assignment process.

Please check all that apply:

5. Additional Information

If you have any pertinent medical information that could, in any way, affect your stay here or be beneficial for the Office for Student Affairs to know in case of an emergency, please make note of this below:

If there is anything else you think would be helpful to the Office for Student Affairs in the housing assignment process, feel free to provide additional comments on the lines below.

By clicking the Submit button, you are confirming that all the information contained on this application is correct, complete, and honestly represented. If this is correct, please submit the form above.

Any personal information submitted on this page is for the specified use of Buena Vista University and will only be used by Buena Vista University.

Buena Vista University does not discriminate on the basis on an individual's actual or perceived race, color, ethnicity, creed, religion or religious belief, citizenship status, sex, marital status, disability, pregnancy, sexual orientation, gender identity or expression, national origin, military service or affiliation, genetic information, age, or any other basis protected by federal or state law in the administration of its educational policies, admissions policies, scholarships and loan programs, athletic program, and all other University programs and activities, and does not tolerate such discrimination or harassment of and by its faculty, administration, staff, students, and visitors.

Sex discrimination is prohibited by Title IX of the Education Amendments of 1972. It addresses all forms of sexual discrimination, including sexual harassment, sexual violence, sexual assault and intimate partner violence. Buena Vista University does not discriminate on the basis of sex in conformance with Title IX.