First-Year and Transfer Student Housing and
Meal Plan Application and Agreement


  1. Status:
    Please check  your status for the 2014-2015 academic year Freshman Transfer

  2. Name:
    Last Name      First Name Middle Initial

  3. Gender
    Gender Male Female

  4. Permanent Address (this may not be an on-campus address):
    City State Zip

  5. Mount Student ID#:

  6. Mount Email Address:

  7. Cell Phone:

  8. Home Phone:

  9. Do you have any special needs which would require special housing?  Yes: No:
    (If you answer Yes, you must complete the Special Housing Accommodation Request Form available
    online at www.mountsaintvincent.edu/residencelife under the Housing Forms and Resources section.)


  10. A meal plan is mandatory for all residential students. The college’s meal plan is based on a declining balance.

  11. Do you smoke?  Note: Smoking is prohibited in all buildings, including residence halls

  12. Can you live with a smoker? 

  13. What time do you typically go to bed? 




  14. How do you like to study?




  15. Are you participating in a Athletic Team?  If yes, which team?

  16. Roommate Requests (First/Last Name)
    The person you are requesting as a roommate must also have your name on their application for the roommate request to be granted.

Housing and Meal Agreement:

I hereby accept from the College of Mount Saint Vincent for the Fall 2014 through Spring 2015 a room assigned, or to be assigned, to me in the College’s residence hall subject to the Room and Board Contract & Policies as well as all regulations in the Student Handbook. The Contract & Policies agreement will be provided to me during the check-in process. All agreements are for the entire academic year, unless student meets criteria for housing cancellation. I understand that I must be registered as a full-time student (12 credits or more) to reside in College housing.

All housing applications should be received in the Office of Housing and Residence Life no later than June 15, 2014 for the Fall 2014 semester and January 5, 2015 for the Spring 2015 semester to be guaranteed on campus housing. All applications require a $200 damage deposit.