First Name: (*)
Please enter your first name.
Last Name: (*)
Please enter your last name.
Middle Name:
Date of Birth: (*)
Enter your date of birth
Gender: (*)
Please select your gender.
Street Address: (*)
Please insert your street address.
City: (*)
Please insert your city.
State/Province: (*)
Please select your state or province.
Zip Code: (*)
Please enter your zip-code.
Cell Phone (*)
Please enter a valid phone number with area code
Alternate Phone
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Marygrove Email
Please enter a valid email address
Alternate Email: (*)
Please enter a valid email address.
Student I.D.:
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Anticipated Major
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Are you in the Marygrove College Honors Program? (*)
Please make a selection.
Are you signed up with Connecting to the Grove? (*)
Please make a selection.
Have you ever been convicted of, or plead guilty or no contest to a felony crime or misdemeanor (except traffic violations)? (*)
Please make a selection.
If yes, please explain:
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Emergency Contact Information
Primary Contact Name: (*)
Please enter a primary emergency contact.
Relationship to student: (*)
Please enter your relationship to your primary emergency contact.
Primary Phone:
Please enter your home phone number.
Secondary Phone:
Please enter a valid phone number with area code
Room and Board Options:
Are you a new or returning applicant? (*)
Please select the type of applicant that applies to you.
Please select one of the four occupancy rates available below.
Note: All Freshmen and Sophomores will be quaded. Due to limited space, we cannot guarantee double occupancy to Juniors and Seniors.
Select a Room Option (*)
Select your room and board option
Select Meal Plan Option (*)
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*(Financial Aid will not cover cost in total, requires an out of pocket expense for this option)
Roommate Request:
Room assignments and preferences are made on a first-come, first-served basis after all application materials have been received and students have been approved for housing. All roommate requests must be mutual. Roommate requests are subject to availability and may not be guaranteed.
Roommate Preference (*)
Select your roommate preference
I consider myself: (*)
Please make a selection.
I understand that smoking is not permitted in the buildings on campus, or within 25 feet including the residence hall, and due to personal choice, allergies or sensitivities. (*)
Please make a selection.
Music Preference: (*)
Please make a selection.
Roommate Preference: (May be a specific name or request alike majors and/or teammate)
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Note: Marygrove College will make every effort to accommodate requests. However, we cannot guarantee all requests will be made. An application to reside in the residence halls does not guarantee an assignment. Students will be asked to set up an interview with an appropriate member of the Residence Hall staff prior to moving into the Residence Hall who will review the policies, procedures and expectations. Students who are unwilling to comply or who have been in violation of any college policy, may not be granted a room assignment.
Health Insurance Information
All Applicants must download and submit the Health Insurance Form. Your application will not be considered complete until we receive your completed Health Insurance Form.
(*)
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Please indicate any physical, academic, or personal accommodations you will need
during your stay in the residence hall in the space provided below.
Accommodations
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Review and accept these agreements:
(*)
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(*)
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Please enter the two words to validate your submission.
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