4th Year Housing Request Class of 2022

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Questions marked with a * are required

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:

Carolinas

Virginia

Auburn

Louisiana

First Name

Last Name

VCOM Email Address

Phone

Please indicate your gender for purposes of bedroom assignments:

Male

Female

Please select the location in which you are requesting housing:

Please select the rotation(s) in which you are requesting housing:

July 5 – July 29

August 1 – August 26

August 29 - September 23

September 26 - October 21

October 24 - November 18

December 5 - December 30

January 2 - January 27

January 30 – February 24

February 27 – March 24

March 27 - April 21

Two-Week Rotation or Other (Please provide details below)

Two-Week Rotation or Other (Please provide details below)_comment

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.