Pacific Union College | Housing Request Form

Housing

Student Family Housing Registration

Pacific Union College offers housing designed especially with the needs of married students and single parents in mind. Older students, as well as Faculty and Staff, are eligible to reside in Student Family Housing upon availability and priority determinted by Student Services.

Personal Information

*Student ID#

*Name *

*Address *

*City *

*State *

*Zip Code *

*Age *

*Birth date

*Phone Number *

*Email Address *

Family

*Married

Date of Forthcoming Wedding

Name of Fiance

Address

City

State

Zip Code

Phone Number

*Children

# of Children

*Family Size *

*Bedrooms Needed *

Additional Information

Please let us know which lists you would like to be put on. It is first come first serve, so adding your name to multiple lists will give you a better chance of getting an available spot.

*First Quarter Needed

*Desired Move-in Date

*Expected Graduation Date

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