Housing Application

Bold fields are required
First Name: Middle Name: Last Name:
Gender: Birthdate: (mm/dd/yyyy)
Current Address:
City: State:
Postal Code: Country:
Home Phone: Secondary Phone:
Marital Status: Spouse Name: (last, first, middle)
Name Gender Birthdate (mm/dd/yyyy)
Which semester/term do you plan to begin seminary? Term:    Year: Requested Move-in date
Currently a member of a Southern Baptist Church? If no, denominational affiliation:

Housing Request

Please indicate type of housing desired (Note - all apartments are unfurnished)
"Children" is defined as dependents under 19 years of age.
Dorm Occupancy:
MARRIED (1-2 CHILDREN): Two-Bedroom
MARRIED (3-4 CHILDREN): Three-Bedroom

Payment Information

A non-refundable fee of $100 must be included with this Housing Application. If you are assigned housing, your fee will be applied to cleaning and breakage deposit. (Remainder of deposit is due upon check-in.) If housing is NOT available, you will be given the option of assignment to a waiting list or a return of your housing application fee. Mail application and proper fee to:

Please type your name, card number, and address exactly as it appears on your credit card invoices.
Card Type:
Card #:
(last 3 #s on back of card)
Expiration Date:
Address 1:
Address 2:
Postal Code:

Our Residence Life staff is committed to serving your needs and the needs of your family by making every effort possible to accommodate your housing request. This housing application and fee serve to notify the seminary of your preference and intent to live on campus. However, neither the application nor the application fee serves as a guarantee of housing assignment.