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 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 or legal guardian. 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:
When do you like to have your room quiet for sleeping?
I will usually go to bed:
During the week, I usually wake up:
The top three ways I like to spend my time are:
My hobbies and interests include:
Some of my unique habits that you should consider:
Are you comfortable living in a shared space with a roommate who has an approved Emotional Support Animal?
Roommate Information
I am interested in a roommate who has the following qualities (check all that apply):

Other
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 7TH 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 Premium Housing). I have chosen the following payment option...
Should be Empty:

Intent to Enroll and Housing Request Form

Residence Hall Request

Request for Special Accommodations

Residential Requirement Waiver

Lifestyle Information

Roommate Information