Housing Contract Form Fill out this form after you have read the housing contract. "*" indicates required fields Affirmation* I have read and understand the Housing Contract linked above. I agree to pay all fees associated with this agreement and the housing agreement. I understand that I will be assessed a $200 administrative fee if I cancel this agreement (see section XVII of the contract). Student Name* First Middle Last Student Montreat Email* Student ID* Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current Credit Level (at the time of completing this document):*Senior (90+ credits)Junior (60-89 credits)Sophomore (30-59 credits)Freshmen (0-29 credits)Your Room Assignment for the 2022-2023 academic year: Residence Hall* Room number* Student Electronic Signature* Reset signature Signature locked. Reset to sign again I agree and acknowledge that this document can be executed electronically and it is binding in every way as if signed by my hand.Student Electronic Signature: ADA Compliance Option I prefer to type my signature Student Electronic Signature: Typed* This contract is binding for the initial room assignment listed above as well as any other rooms that the student moves/is moved to in the 2022-2023 academic year. I agree and acknowledge that this document can be executed electronically and it is binding in every way as if signed by my hand.Student Electronic Signature: Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920