Intent to Enroll and Housing Request Form

Intent to Enroll and Housing Request Form
The Office of Admissions welcomes students that have been accepted and plan to enroll at West Virginia Wesleyan to complete the Intent to Enroll and Housing Request Form. This form is used to secure your place in the incoming class. Once completed, you will be redirected to a page where you can submit your enrollment deposit. If you haven't been accepted for admission, please click here to complete the online application.
Name*

First NameLast Name
Preferred Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Social Security Number
Date of Birth*

MonthDayYear
Intended Major*
Home Phone Number*

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
E-mail*
Student Type*
Residence Type*
Legal Sex*
I will enroll at West Virginia Wesleyan beginning:*
Please note that name, home address, phone number, and email address will be provided to your assigned roommate.
Residence Hall Request
Please select the type of residence hall you prefer:*

Standard Housing. Requires $200 deposit (enrollment deposit)Premium Housing. Requires $500 deposit (enrollment deposit + housing deposit)
Standard housing deposits are refundable until May 1st in the event you decide to attend another institution.
The $500 deposit for Premium Housing includes the $200 enrollment deposit and a $300 housing deposit for premium housing consideration. The $200 enrollment deposit portiion is refundable until May 1st in the event you decide to attend another institution. The $300 housing deposit portion is non-refundable.
Students are guaranteed four years on-campus housing. Premium residence hall assignments include suites in Dunn Hall and Fleming Hall, and those placements are first come, first served. While we cannot guarantee placement into any specific standard or premium residence hall, we will do our best to accommodate requests for specific halls.
Please try to place me in the following standard residence hall:*
Please try to place me in the following premium residence hall:*
All students requesting a residence hall assignment must complete the Student Information Sheet found on the back of this form.
Request for Special Accommodations
Residential Requirement Waiver
It is the practice of the Office of Campus Life to respond to students with special needs to make accommodations when possible. These needs might include a unique meal plan for dietary restrictions, an air conditioned residence hall, a private bathroom, or other accommodations directly related to a medical issue that can be supported by a doctor's recommendation. In this regard, please let us know by May 1st if you need any special accommodations related to your on-campus housing or meal plan by contacting us at 304-473-8441 or via email at housing@wvwc.edu. Special accommodations are subject to availability and offered on a first come, first served basis.
I am requesting a waiver from the residential requirement. I meet one of the following criteria:*
*An immediate relative is defined as a parent, legal guardian, aunt or uncle. Students meeting this requirement must also graduate from a high school in Lewis, Randolph and Upshur counties. Other cases will be reviewed on a case-by-case basis.

Commuter status must be approved by the Office of Campus Life. Financial aid may be affected by off-campus status, and students must submit a $200 enrollment deposit.
Name of Immediate Relative*

First NameLast Name
Relationship to Student*
Physical Address for Immediate Relative*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number for Immediate Relative*

Area CodePhone Number
Please Note: The Office of Campus Life will make an effort to accommodate each person's request. Housing assignments are ultimately subject to space availability.
Lifestyle Information

To help us best match you with your roommate, the STUDENT should answer these questions honestly and completely.
Do you smoke?*
Do you mind living with someone who smokes?*
Are you a first generation college student? (Meaning neither of your parents completed a 4 year bachelor's degree program or higher)*
Are you interested in living in a First Generation Learning Community (benefits include group study times, peer mentors, special events and workshops designed to help you succeed) in standard housing?*
When studying, I prefer:*
I usually keep my room:*
I am usually:*
I will usually go to bed:*
The top three ways I like to spend my time are:*

Attending partiesAttending sporting eventsBeing by myselfReadingAttending social eventsBeing with friendsPlaying sports
My hobbies and interests include:*
Some of my unique habits that you should consider:
Roommate Information
I am interested in a roommate who has the following qualities (check all that apply):*

Athlete (specify sport and whether you would like to room with a teammate below)Same Academic ProgramI want to live with an international studentOther
I will be be participating in the following sport:*
I would like to live with a teammate:*
I have the name of someone with whom I would like to live. Name of preferred roommate:
RESIDENCE HALL ASSIGNMENT INFORMATION MUST BE RECEIVED BY MAY 15TH in order to obtain an assignment during the first assignment process. All forms received after the dealine will be processed in subsequent order.
Upon submission of the Intent to Enroll and Housing Request Form you will be redirected to a page where you will be able to make your enrollment deposit ($200 Commuter Student/Standard Housing or $500 International Student/Premium Housing).

Intent to Enroll and Housing Request Forms will not be processed by the Office of Admissions until enrollment deposits have been received. If you have any questions please contact the Office of Admissions at 800-722-9933 or via email at admissions@wvwc.edu.
Upon submission of the Intent to Enroll and Housing Request Form you will be redirected to a page where you will be able to make your enrollment deposit ($200 Commuter Student/Standard Housing or $500 Premium Housing). I have chosen the following payment option...*

I agree to pay the $500 premium housing depositI agree to pay the $200 standard housing depositI have agreed with my admissions counselor to defer the $200 standard/commuter housing deposit. I understand this $200 is not waived but will be added to my student account.
Should be Empty:

Intent to Enroll and Housing Request Form

Residence Hall Request

Request for Special Accommodations

Residential Requirement Waiver

Lifestyle Information

Roommate Information