Hardin House Private Women's Dormitory: Application Form

Our Houses

Resident Services
Application

Online Application

Do not print this page. You must first complete the form and then press "Continue" at the bottom of the form. A condensed one-page form will be displayed. This is what you print and send to us. Thanks so much for your help!

Term:	Fall/Spring of (year) NOTE: We are currently not providing housing for summer school. If you are interested in summer accommodations, please contact us for more information.
Applicant's Name (Nickname):
Applicant's Full Legal Name:
Applicant's Home Address:
City/State/Zip:
Birthdate:	/ / (mm/dd/yy)
Applicant's Telephone:
Applicant's Cell Number:
Applicant's E-Mail:

PARENTS or GUARDIAN:
Father
Name:
Home Address:
City/State/Zip:
Home Telephone:
Profession:
Firm Name:
Business Address:
City/State/Zip:
Business Telephone:
Cell Number:
E-mail:
Fax Number:

Mother
Name:
Home Address:
City/State/Zip:
Home Telephone:
Profession:
Firm Name:
Business Address:
City/State/Zip:
Business Telephone:
Cell Number:
E-mail:
Fax Number:

Party Responsible for Contracts and Payments (Guarantor):
Full Legal Name:
Relationship:
Billing Address:
City/State/Zip:
Telephone:
Driver's License #:

Other Information:
How did you hear about us?
Do you have any younger sisters?
If so, what are their names & years of high school graduation?

ALL BLANKS MUST BE COMPLETELY FILLED OUT BEFORE THIS APPLICATION CAN BE PROCESSED. PLEASE KEEP A COPY OF YOUR COMPLETED APPLICATION FOR YOUR RECORDS.

The application form must be completed and returned by mail to Hardin House with a $100 application fee. One half of this fee is non-refundable. The application and fee are subject to our rules and policies.

APPLICATION AND FEE POLICIES

1) NO GUARANTEE OF RESERVATION
This form is for information only and not a Contract or a confirmed reservation. Only a fully signed and executed Contract and receipt of confirmation fee constitutes a binding Contract and reservation. This application and fee only place the applicant's name in our records as desiring accommodations.

2) PURPOSE OF THE APPLICATION AND FEE
The application form above and the accompanying $100 application fee will serve to place the applicant's name on Hardin House's list of those desiring accommodations for the term designated herein. This $100 application fee includes a $50 non-refundable portion of the application fee, and a $50 refundable portion.

3) APPLICATION FEE REFUNDS
Of the above $100 application fee, the refundable $50 portion may be claimed at any time upon request before a Residential Occupancy and Services Contract ("Contract") has been signed by Hardin House. If no Contract is ever fully signed and executed, the refundable $50 of your fee will also be forfeited unless a request for refund is received by us within ninety (90) days following the beginning of the school term for which you applied.