Summer Housing Renewal
Personal Information
*First Name
*Last Name
*Email Address
(Must be your UCCS Account)
*Cell Phone Number
*UCCS Student ID Number
(no dashes)
*Gender
*Class (as of Summer)
Term of Contract
*Length of Contract
If Monthly, put in time period
Housing Requests
*Room Type Preference

Please Indicate Any Of Your Roommate Requests.  Please Note That If You Choose Someone, They Must Also Choose You In Order For You To Be Assigned Together.  They also must be the same sex as yourself
1st Roommate Choice
2nd Roommate Choice
3rd Roommate Choice
Housing Agreement
*Agreement

Please review the following text from the Housing Agreement, and click the I Accept box at the bottom of the section.

PLEASE READ CAREFULLY BEFORE ACKNOWLEDGING THAT YOU HAVE READ THIS SECTION:

Final Instructions
By hitting the submit box below, you are certifying that the information you have provided is correct, and that you acknowledge that you are requesting to be assigned to on-campus housing at UCCS for the Summer term.  Please note that if information is not correct, your application may not be accepted.  If you submit multiple times, your latest submission will be the one used for assignment purposes.
* denotes required field