The applications and forms on this page are in PDF format. To view a PDF document, you must have Acrobat Reader or a similar program. If you do not have a PDF viewing program, you may download a free version of Acrobat Reader. 

When submitting applications and/or forms, please be aware of the following:

• Some items contain multiple pages. For your submission to be accepted, please submit all pages.
• While forms are available on-line, please read carefully to ensure you are submitting the appropriate form.  Certain forms have criteria-specific information and acceptance of these forms is based on the criteria being met. 
• Forms can be obtained on-line, but cannot be submitted on-line.  Please submit forms in person, via fax or mail to the addresses on the Contact Us page.

Housing Applications

• 2008-9 Residence Hall and Dining Services Application - Those students who will be newly admitted to CUA for Fall 2008 or those returning CUA students who did not participate in Room Selection should submit this application.  You should be officially admitted to CUA prior to this application being considered.  Please note: The university requires all freshman and sophomore undergraduate students to live in campus housing.  As is the case on most residential campuses, on-campus housing for junior and senior students is not automatically guaranteed.  During the Spring semester, a lottery is conducted where interested junior and senior students may select housing from available rooms for the next academic year.  Housing Services also offers guidance to upperclassmen and graduate students seeking off-campus residence.  For more information on this process and available resources, visit the Room Selection area of this website.
• Housing Accommodation Request Form -  Please submit this form to Housing Services for review.  In order to receive a Housing Accommodation, you must have documentation supporting the requested accommodation with Disability Support Services (DSS).  Accommodations are made on a needs-based and space available basis.  When offering spaces for Housing Accommodations a student's needs will be met; howveer, their preferences, while considered, are not guaranteed. Please note: All campus residence halls are air-conditioned. In order for the housing accommodation request to be considered, the student must have documentation of the disability on file in DSS.  To aid in the evaluation process, documentation must include information provided by the student to DSS that confirms the following:
  • Student has a current diagnosis, a history that is the basis of the request, and a documented prognosis.
  • Student has current, substantial disability-based limitations that relate to the residential hall environment.
  • Student’s current treatment, medication, and/or other mitigating measures used or recommended by the provider as they relate to the disability and housing needs.
  • Any substantial medication side effects, if applicable.
  • A complete description of the desired housing configuration and discussion of why this specific accommodation is the necessary accommodation for the student’s disability.
  • An indication of the level of need for the recommended configuration (and the consequences of not receiving it).
    • Is the impact of the condition life threatening if not met?
    • Is there a negative health impact if the request is not met?
    • Is the request an integral component of a treatment plan for the condition in question?

   

  The following criteria are considered when evaluating housing accommodation requests:

  • Has the student provided appropriate documentation to DSS?
  • Is the student required to reside on campus?
  • If the student is not required to live on-campus, is space currently available that meets the student's needs?
  • Are there possible alternatives?
  • Was the request made prior to the application deadline (May 15th for new students, February 8th for continuing students)?

  For more information on this process for continuing students, visit the Room Selection area of this website.

• 2008-9 Single Room Wait List Application - HS recognizes that for a variety of reasons students may prefer single rooms. Demand for single rooms may exceed their initial availability. However, single rooms generally become vacant throughout the year as students cancel their housing. Availability for single rooms includes both tranditional single rooms with common baths in Caldwell (male), Gibbons, Regan (Honors), Ryan, and Seton (female) as well as single rooms within apartments or suites in the Millenniums.  Due to the difficulty in predicting when single rooms will become available, the Single Room Wait List will be maintained throughout the academic year. Eligible Single Room Wait List applicants are those CUA students who desire a single room and have a confirmed on campus assignment. The Single Room Wait List Application should be submitted to HS. Once you submit your Application, please keep in mind the following:
  • You will be offered a single on a space available basis. You will be contacted via the contact information supplied on the Application.
  • Once a single is offered, you will have 3 business days to accept. Due to the difficulty in predicting where and when singles will become available, HS is unable to guarantee that your hall preference will be met.
  • If the single is not accepted or is declined, you will receive a second offer when the next single becomes available.  Should you decline the second offer, your name will be removed from the Single Wait List. 
  • When you accept a single, HS will send a confirmation of your new assignment.

Housing Cancellation Forms

Please be aware that requests to cancel housing are not guaranteed and that approved requests are subject to housing cancellation fees.  Please refer to the Residence Hall and Dining Services Agreement for more information regarding the housing cancellation policy and to the Student Accounts Policy for more information on refunds of room and board charges.

• Intent to Study Abroad Form - This form is for those students who are canceling their housing because they will be participating in a CUA approved Study Abroad program.
• 2008-9 Housing Cancellation Request Form - This form is for all students who wish to cancel their housing for academic year 2008-2009, except those students who are canceling housing due to participation in a CUA approved Study Abroad program.
• All refunds are processed according to the University Refund Schedule.  Please refer to http://policies.cua.edu/finance/studentacc/refund.cfm for information regarding this schedule.

Dining Services Forms

• 2008-9 Dining Plan Add/Change/Drop Request - This form is for students who want to add a dining plan, had previously selected a dining plan and now wish to change to a different dining plan or cancel their plan. The form can be returned to Business Services in Leahy Lower Level room 45 or fax at 202-319-5047, Dining Services on the 1st floor of the Pryz, or Housing Services.  Please note residential freshmen and sophomores are unable to cancel their dining plan.  Newly admitted residents should indicate their dining plan preference on their Residence Hall and Dining Services Application.
• Special Dietary Needs - Students who want to petition for release from the dining plan requirement based on dietary considerations should contact Student Health Services to discuss their request.  Request forms are available online at the Dining Services Website.