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Giving
Community
Current Students
Current Residents
Apply
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The Student Village Residence Inquiry Form
First Name
*
Last Name
Date of Birth
*
Gender
*
City
*
State/Province
*
Email Address
*
Confirm Email Address
*
Phone
*
Do you have any accessibility requirements you would like us to be aware of?
*
No
Yes
Please provide further information.
Do you have any food allergies or dietary restrictions?
*
No
Yes
Please provide further information.
What is the length of stay you require?
*
4 months
6 months
9 months
10 months
Other
Please specify
Meal Plan Selection
*
10 meals/week
14 meals/week
19 meals/week
$1,500 prepaid meal card
What is your preferred move in date?
*
How did you hear about The Student Village?
Social media
Digital billboard
Poster
Luther recruitment staff
Luther website
Word-of-mouth
Career fair
Other
Other
Submit Form