University of Virginia Library

DORMITORY APPLICATION

Secretary of Summer Quarter,

Box 1337,

University of Virginia,

University, Virginia.

Sir:

I hereby apply for a room or suite in the dormitories for the coming
session, and inclose $1.00 to cover the required deposit. The
following rooms or suites are listed in order of preference, and if
none of those specifically applied for be available, assignment may be
made from rooms or suites similar in price and location.

1. .........................

2. .........................

3. .........................

4. .........................

5. .........................

If you expect to attend both terms make your reservation in Venable,
Harrison, Tucker, Holmes or Peters Hall. Other Halls will be
closed Second Term. Davis Hall will be open for men both terms.

Do you wish to make application for board at the Commons?..........

(Students desiring to co-operate in securing the minimum rate of
$31.50 for the term of six weeks should sign up promptly.)

The School I am entering from is....................

My Church preference is....................

Do you wish to occupy suite alone?....................

Name of roommate, if any....................

(Roommate should send check for $1.00 also)

Address .........................

If name and address of roommate is not reported to the Secretary before
June 1 the Secretary will assign one to fill the vacancy.

Name .........................

Street .........................

City .................... State...............

Check should be made payable to University of Virginia and mailed
to the Secretary of the Summer Quarter.

Students must have a receipt for the full payment of room rent
in order to secure his or her room key.