HLS Housing Application for Non HLS Students

 
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1. First Name?
2. Middle Name?
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3. Last Name?
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4. Harvard University ID Number?
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5. Student Classification?
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6. If you are a graduate student at Harvard University, with which school are you affiliated?
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7. If you are a Harvard University student, will you be participating in Commencement in May?
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8. Date of Birth? (MM/DD/YYYY)
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9. Gender?
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10. Harvard email address?
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11. Personal Email Address?
12. Cell Phone Number?
13. Do you have any dietary restrictions of which your RA should be aware of?
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14. Please enter the first and last name of your emergency contact person.
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15. What is the relationship between you and your emergency contact?
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16. What is a phone number at which your emergency contact can be reached?
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17. What is an email address at which your emergency contact can be reached?
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18. Do you have a disability that may require special accommodations for housing? If so, please explain. If not, please write "No" in the box below.
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19. Please select all room types which you would accept. See http://www3.law.harvard.edu/dos/hlshousing/on-campus-housing/room-types-and-prices/ for a list of room types and prices. There is no guarantee that any of these room types will be available.
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20. What is your desired move in date?
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