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

1. Status
   
   Please check  your status for the 2021-2022 academic year

   First Year Transfer
   
   
2. Name
   

   Last Name

   First Name

   Middle Initial

   
   
3. Gender
   
   
4. Permanent Address (this may not be an on-campus address):

   	Address 1
   	Address 2
   	City	State	Zip

   
   
5. Mount Student ID#
   
   
6. Email Address
   
   
7. Cell Phone
   
   
8. Home Phone
   
   
9. All full-time resident students are on a declining balance meal plan. Please select one of the following three options:

   
   

   Plan #1 Basic Resident Plan (included in Room & Board per semester) includes $1,750 Dolphin Dollars & $40 MyDollars per semester. Plan #2 Resident Buy Up Plan (additional cost of $210) includes $1,960 Dolphin Dollars & $40 MyDollars & $25 On Campus Dining Gift Card per semester. Plan #3 Resident Buy Up Plan (additional cost of $310) includes $2,060 Dolphin Dollars & $100 MyDollars & $65 On Campus Dining Gift Card per semester.

   
   
10. Do you smoke? 

    Yes No
    Note: Smoking is prohibited in all buildings, including residence halls
    
    
    
11. What time do you typically go to bed? 

    
    9 p.m.-11 p.m.
    11 p.m.-1 a.m.
    After 1 a.m.
    
    
    
12. How do you like to study?

    
    With complete quiet. No radio /No talking.
    With light noise. Talking at a conversational volume, no radio.
    With noise. Radio on is acceptable.
    
    
    
13. I like to keep my room:

    
    Clean/Neat
    Somewhat Organized/Some Clutter
    Messy
    
    
    
14. My ideal roommate is a person who is
    
    
15. My ideal roommate is a person who is
    
    
16. My ideal roommate is a person who is
    
    
17. My ideal roommate is a person who is
    
    
18. I prefer to live with roommates who have similar academic interests:

    
    Yes
    No
    Doesn't Matter
    
    
    
19. My academic interests include
    
    
20. My extracurricular interests/hobbies include
    
    
21. Sports I may participate in (if any)
    
    

Housing and Meal Agreement:

I hereby accept from the College of Mount Saint Vincent for the Fall 2021 through Spring 2022 a room assigned, or to be assigned, to me in the College’s residence hall subject to the Room and Board Terms and Conditions as well as all regulations in the Student Handbook. The Terms and Conditions 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 by the Office of Housing and Residence Life no later than January 14, 2022 for the Spring 2022 semester to be guaranteed on-campus housing. All applications require a $200 damage deposit.