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SF State Housing 800 Font Blvd. San Francisco CA 94132-4036 Tel 415 338-1067 Email housing sfsu. edu State University Housing NEW RESIDENT SF State Housing Application Completion and payment of this application DOES NOT guarantee housing. This application is only the first step. Please visit www. sfsu. edu/ housing for a complete explanation of the housing process. Application Instructions PRINT CLEARLY in CAPITAL LETTERS only. Return this application with a 55 non-refundable fee to the address above. All checks must be payable to SFSU. You are applying for SFSU ID SUMMER 2011 - First Name Given Name Middle Initial Last Name Surname Date of Birth Month Gender Day Year Best Phone Number to Reach You Male Female Area Code International Phone Number Country Code Permanent Mailing Address Street Address City State Country IF NOT USA Zip Code Email Check your email frequently this is how we will communicate with you. US citizen US Permanent Resident NOT citizen Citizenship If you are an International Student select visa type F-1 Visa J-1 Visa Other Do you intend to register with DPRC Yes No If yes please visit www. sfsu. edu/ housing for additional instructions and services. Have you ever been convicted of a felony Yes No If yes provide a letter of explanation What will be your class standing at SFSU the semester you are applying for housing Freshman Sophmore Junior Senior Graduate American Language Institute ALI Ethnicity Indicating ethnicity is for statistical purposes only and strictly voluntary American Indian Central American Hawaiian Other Asian South American Other Alaskan Native Chinese Japanese Other Hispanic South East Asian Decline to State Asian Indian Cuban Korean Pacific Islander Thai PAYMENT TYPE OFFICE USE ONLY CHECK PAYMENT AMOUNT Black Filipino Laotian Puerto Rican Vietnamese CASH Cambodian Guamanian Mexican American Samoan White MONEY ORDER Staff Initials CASHIERS CHECK. sfsu. edu/ housing for a complete explanation of the housing process. Application Instructions PRINT CLEARLY in CAPITAL LETTERS only. Return this application with a 55 non-refundable fee to the address above. All checks must be payable to SFSU. Return this application with a 55 non-refundable fee to the address above. All checks must be payable to SFSU. You are applying for SFSU ID SUMMER 2011 - First Name Given Name Middle Initial Last Name Surname Date of Birth Month Gender Day Year Best Phone Number to Reach You Male Female Area Code International Phone Number Country Code Permanent Mailing Address Street Address City State Country IF NOT USA Zip Code Email Check your email frequently this is how we will communicate with you. You are applying for SFSU ID SUMMER 2011 - First Name Given Name Middle Initial Last Name Surname Date of Birth Month Gender Day Year Best Phone Number to Reach You Male Female Area Code International Phone Number Country Code Permanent Mailing Address Street Address City State Country IF NOT USA Zip Code Email Check your email frequently this is how we will communicate with you. US citizen US Permanent Resident NOT citizen Citizenship If you are an International Student select visa type F-1 Visa J-1 Visa Other Do you intend to register with DPRC Yes No If yes please visit www.

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