Financial Aid Housing Status Form

Financial Aid Housing Status Form 2011 - 2012

Fields labeled with * are required for submission.

Identification InformationStudent ID:* Without punctuation (e.g. M00987654)

Note: You MUST correctly type in your student ID. Otherwise, your request will not be able to be processed.

Contact InformationFirst Name:*
Last Name:*
Email Address:
Optional: this will only be used to contact you if a problem or question arises.

Local Address for the 2011 - 2012 Academic Year

Enter the address at which you will reside while you are taking classes at MU.

On-campus/Dorm (NOT Shenks or Reighard Hall).
Note: If selecting this option, you do not need to complete the local address section below.

Local Address 1:*
Local Address 2:*
Local City:*
Local State:*
Local Zip:*
Local Phone:*
Unlisted?

Please indicate the housing status of the above address *:

At this address, I live with my parent / guardian or other relative
At this address, I live in an apartment or home, not with parent / guardian.

Fall 2011
Spring 2012

Home Address

My Home Address is the same as my Local Address

Home Address 1:
Home Address 2:
Home City:
Home State:
Home Zip:
Home Phone:
Unlisted?