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Residential Living Application

*Required fields are indicated with an asterisk.

Contact Information
*My permanent address is the same as my mailing address.
*I have a previous address where I was a renter.
Housing Request

State law requires that you be informed of the following: (1) you are entitled on request to be informed about the information about yourself collected by the use of any web-based form (with a few exceptions as provided by law); (2) you are entitled to receive and review the information; and (3) you are entitled to have the information corrected. See the SRSU Privacy & Security Policy.