Applications and Forms

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 at this time. Please submit forms in person, via fax or mail to the addresses on the Contact Us page.

Housing Applications

• 2009-10 Residence Hall and Dining Services Application
  • Newly admitted Freshmen applying for housing for 2009-10 can apply online with Apply For Housing. Although the priority application date is May 15, 2009 the online application will be available until June 14, 2009. After that date students should submit the hard copy of the Application to Housing Services. Once newly admitted students have submitted their residential enrollment deposit they will be able to access the online application in MyHousing found in Cardinal Station. You can access MyHousing by logging onto Cardinal Station and using your Username and Password. Newly admitted students should have received this information in the mail. If you have misplaced your Username and Password, you can call the CUA Computer Help desk at (202) 319-4357 and they will be able to assist you. Please note: The university requires all freshman and sophomore undergraduate students to live in campus housing.
  • Newly admitted Transfer, Graduate or Law students or continuing students who did not participate in Room Selection should submit the above Application to request housing. 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), the Counseling Center (CC), and/or Student Health Services (SHS). Accommodations are made on a needs-based and space available basis. When offering spaces for Housing Accommodations a student's needs will be met; however, 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 on file in DSS, CC, and/or SHS. To aid in the evaluation process, documentation must include information provided by the student to the appropriate office(s) 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 the appropriate office(s)?
  • 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)?

• 2009-10 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 Gibbons, Regan (Honors), Ryan, Caldwell (Grad/Law all male), Seton (Grad/Law all female), as well as single rooms within apartments or suites in the Millenniums and Opus. 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.
• 2009-10 Housing Cancellation Request Form - This form is for all students who want to request a cancellation of their housing for academic year 2009-2010, 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

• 2009-10 Dining Plan Request Form - The Dining Plan Request Form is available on the Dining Services Web site. Initial dining plan selections can be made online in MyHousing until August 27, 2009 or at any time on the dining plan request form. Changes or cancellations of dining plans can only be submitted via the request form and are not available online. The form can be returned to Dining Services on the 1st floor of the Pryz, Housing Services, or faxed to (202) 319-6262. The deadline to change or cancel a dining plan is the Friday of the first week of classes each semester. For the 2009-10 academic year, these dates are September 4 (fall) and January 15 (spring). Please note residential freshmen and sophomores are unable to cancel their dining plan.
• Special Dietary Needs - Students who want to petition for release from the dining plan requirement based on dietary considerations should contact Student Health Services or Dining Services to discuss their request. Appeals of initial release decisions should be directed to Tim Carney, Associate Vice President for Campus Services.