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HOUSING QUESTIONNAIRE &
EMERGENCY CONTACT INFORMATION
Please return in enclosed envelope as soon as possible. Office Use Only
Dorm:
Date:ALL STUDENTS PLEASE FILL OUT PAGE 1 COMPLETELY.
STUDENT NAMESTUDENT
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What is please return your questionnaire?
A questionnaire that must be completed and returned as requested.
Who is required to file please return your questionnaire?
Individuals or entities who receive the questionnaire request.
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Follow the instructions provided in the questionnaire and provide accurate information.
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