Special Housing Assignment Form, Academic Enrichment Center | Earlham College

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Special Housing Assignment Requested as a Disability Accommodation

The primary functions of a residence hall is to provide students with personal living space and a place to develop community. We aspire to assign all students to the most appropriate living space possible. Please assist us in our endeavor by submitting a completed form before May 25.

About You

MM-DD-YEAR (i.e., 02-15-1994)






Section A











Section B







Section C


Section D: Residence Hall Room Furniture and Accessories — Standard furniture and accessories will be provided unless special instructions are noted below. Please be aware that it may take six weeks for the arrival of new furniture and equipment.












Section E: Additional Accessories for the Residence Hall Room — Please be aware that it may take six weeks for the arrival of new equipment.










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