Residence Application Form

You must be entering second year or higher to fill out this application.


Students entering first year must apply through the Laurentian University student portal. 

Student Information

Student Number *
Gender *
Full Name *
Date of Birth *

Mailing Address

Street Name and Number *
City *
Postal Code *
P.O. Box/Unit Number
Province/State *
Country of Citizenship *

Contact Information

Home Telephone Number
University Email Address *
Mobile Telephone Number *
Personal Email Address *
Do you permit the Huntington University Residence to share information on this application with your potential roommate? *

Academic Information

Are you transferring from another residence? *
If yes, from where?
Program of Study / Year


Name(s) of preferred roommate(s)
Are you an early morning or late night studier?

Emergency Contact

Name *
Daytime Phone Number *
Email *
Relationship *
Evening Phone Number *