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 3 – July 28

July 31 – August 25

August 28 - September 22

September 25 - October 20

October 23 - November 17

December 4 - December 29

January 1 - January 26

January 29 – February 23

February 26 – March 22

March 25 - April 19

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.