110 Sulzberger Hall
3009 Broadway / NY, NY 10027
http://www.barnard.edu/reslife
212.854.5561 (ph)
212.854.1561 (fax)
housing@barnard.edu
Housing Application
Please submitted completed applications to the email / fax / or mailing address above by the published deadlines (barnard.edu/reslife/applications). Thanks!
Last Name, First
7-Digit BC ID
Barnard Email
Alternate Email
Class Year
Transfer, visiting, &
readmitted students only
Phone(s)
I am applying for housing beginning the following term & year:
Please mark one:
 Returning from Study Abroad program
 Currently living off-campus / commuting
 Was not eligible for Room Selection
MATCHING PREFERENCES
(* REQUIRED)
All students should answer the following 3 questions, even if you are requesting to be in a
single room. This application will not be accepted without responses below.
* What are your sleep patterns?
* When I study in my room, I prefer:
* I prefer my room to be:
Date of Birth
 Morning Person
 Night Owl
 Quiet
 Music or sound is okay
 Neat & orderly
 Not so much...
Requested roommate(s) / suitemate(s):
Must be a MUTUAL request; the person(s) must also request to be with you on their own
Housing Application, on a Room Change Request form, or via a Roommate/Suitemate
Request Form (http://barnard.edu/reslife/forms).
 Fall  Spring
Year:
 Applying for Readmission to the College
 Transfer or Visiting student
 other (specify)
ROOM PREFERENCES
Please rank your preferences for each section below, with 1
being your top choice, etc. For info about each residential hall
& room rates, please visit barnard.edu/reslife/housing-options.
Room Type Preferences:
 Double/Triple Room  Single Room
 Studio Single
 No preference
Residence Hall Preferences:
 Cathedral Gardens  600 W 116
 601 W 110
 616 W 116
 Plimpton Hall
 620 W 116
 Sulzberger Tower  Elliott Hall
 Hewitt Hall *
 No preference
* Quad Upperclass Meal Plan required for all Hewitt residents
Disability Services and Residential Life & Housing will make a reasonable effort to notify residents in buildings where a Service or Support Animal will be
located. If you have a diagnosed disability or a medical condition that might affect your ability to live with or near a Service of Support Animal, please check the
box to the right & contact Disability Services:
 Please check this box if you are affected by animals (allergies, phobias)
Any other preferences or requests? (please write below, on the back of this form, or attach sheets)
By signing below, I acknowledge & understand the following:
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I agree to abide by the terms of the Housing Contract & Occupancy Agreement, including conditions, policies, and procedures whether expressly stated
or incorporated by reference.
I agree to abide by all cancellation deadlines, procedures, and fees should I wish to cancel my application or room assignment (please see
http://barnard.edu/reslife/cancellations for full cancellation policy information).
I understand that assignments will be made to available spaces, so my preferences may not be able to be accommodated.
I understand that preferences and/or roommate/suitemate requests based upon race, ethnicity, national origin, religion, religious practices, sexual
orientation, socioeconomic status, physical abilities, and/or age cannot be accommodated.
If I have a diagnosed disability or medical condition that may require a housing accommodation (ex. air conditioning, single room, strobed firm alarm, etc.),
I understand that I must additionally submit a Disability Housing Request (http://barnard.edu/reslife/disability) to ODS by the published deadlines. I
understand that students who have previously received accommodations must reapply each academic year / after returning from a leave of absence.
Written Signature
Date
Form last revised 10/26/2015