HousingRequestForm

Please enter the following information.

 

Admin Section

 

 

 

 

 

First Name:

Email:

Last Name:

Phone:

 

 

 

 

 

 

 

 

Residence Hall:

 

 

Room #:

 A  NA

 

Summary of Problem and/or Comments:

 

Please enter text exactly as it is shown. Mismatching cases will be rejected.

Security Image Text: 

 

Security Image

 

 

        

 


Office of Housing and Residence Life | Concord University PO Box 1000 Campus Box D-129 | Athens, WV 24712
Phone: (304) 384-5231 | Fax: (304) 304-384-5940 | email: housing@concord.edu