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Fourth Year Housing Request

4th Year VCOM students have the opportunity to request housing depending on rotation site. 

Please note that this request does not guarantee housing.  If approved for VCOM  housing, you will be notified by a Site Coordinator and subsequently billed by the VCOM Business Office in the amount of $250.00.
Please select your home campus:
First Name
Last Name
VCOM Email Address
Please indicate your gender for purposes of bedroom assignments:
Please select the location in which you are requesting housing:
Please select the rotation(s) in which you are requesting housing:
By typing my name below I acknowledge that this request form does not guarantee that the request will be approved.  I also acknowledge that I will be billed for this housing in the amount of $250 per month.  Additionally, I acknowledge that I have reviewed housing policies and understand that there are to be no overnight guests, no smoking, no pets, and that the house shall be kept clean.
Thank you for your request.  If you have any questions, please contact the appropriate Site Coordinator or the Director of 4th Year Clinical Rotations.
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