Pacific Union College

Housing | Residence Hall Reservation

Please use the following form to register for your residence hall. Housing assignments are made following the receipt of the $150 room reservation fee . This fee may be paid by check or credit card. To pay by credit card please call the cashiers office at 707.965.7530 during regular business hours. To pay by check please send your check to:

Pacific Union College
Cashier's Office
One Angwin Ave
Angwin, CA 94508

* indicates a required field

Info
*Beginning Quarter
ID Number

Personal Info
	*First Name
	*Last Name
	*Email Address
	*Address
	Address 2
	*City
	*State
	*Zip Code
	*Home Phone
	Cell Phone
	*Age
	*Birth date	e.g. mm/dd/yyyy
	*Gender	Male Female

Additional Info
	Major
	*College class standing	FR SO JR SR PGR
	*High school/Academy attended
	*School last attended
	Roommate
	Roommate's phone
	Residence hall (number in order of preference)	Men: Grainger Newton Nichol Women: Andre Graf McReynolds Winning
	*Remarks regarding your musical taste, sleeping habits, room care, social habits

Residence hall assignment is based on availability, date room deposit is received, and dean's discretion.