FIU - ELI - On-Campus Housing Request Form

Last Name (Primary Family Name)
Second Last Name (If Applicable)
First Name
Middle Name
Date of Birth Date of Birth / MM / DD YYYY
Gender

Gender Male Female Other Other
E-Mail
Mobile Telephone (Include Country & City Code if outside the U.S.)
FIU Panther ID (If Available)

A Panther ID will be issued
FIU E-Mail (If Available)
Profile Picture

Attach Files
Would you like to request on-campus housing?

Would you like to request on-campus housing? Yes
Which term are you applying for?
Spring (January), Summer (May), or Fall (September)
Will you be 18 years old or older when you move into on-campus housing?

Will you be 18 years old or older when you move into on-campus housing? Yes
Are you applying as a/an:

Are you applying as a/an: U.S. Citizen or Resident F1 Student Other Other
Have you applied to the Intensive English Program?

Have you applied to the Intensive English Program? Yes

Applying to the Intensive English Program is required in order to request on-campus house.
Do you accept that housing spaces are limited and that applying and/or paying the Housing Processing Fee does not guarantee a space in Housing even if completed before the deadline date?

Do you accept that housing spaces are limited and that applying and/or paying the Housing Processing Fee does not guarantee a space in Housing even if completed before the deadline date? Yes
Have you paid the $100 ELI Housing Processing Fee?

Have you paid the $100 ELI Housing Processing Fee? Yes

If you have not paid the fee, please click the link below and separate window will open.
If you are unable to attend the term you are applying to, you must submit a new FIU - ELI - On-Campus Housing Request Form to apply for housing in a later term. Do you accept this requirement?

Note: This application request cannot be deferred.

If you are unable to attend the term you are applying to, you must submit a new FIU - ELI - On-Campus Housing Request Form to apply for housing in a later term. Do you accept this requirement?

Note: This application request cannot be deferred. Yes
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Full Name
Date Date / MM / DD YYYY