Winter Break Housing Application

Name*

First Last

EWU Net ID or ID Number*

Gender*

Residence Hall*

Room Number*

Email*

Phone*

Date to Start Living in Break Housing*

Please indicate when you would like to start living in Winter Break housing. Break housing starts on Friday, December 13, 2024 at noon.

Date to End Living in Break Housing*

Please indicate when you would like to stop living in Winter Break housing. Break housing ends on Sunday, January 5, 2025 at 9 a.m.

Are you registered for next quarter?*

Students who are not registered for winter quarter do not qualify to live in winter break housing.

Are you requesting financial assistance to cover the $450 winter break housing fee?*

Requesting financial assistance does not guarantee approval to cover the winter break housing fee.

Are you a part of the Passport Program?*

Were you part of the Mckinney-Vento program in high school?*

Where were you living before coming to EWU/living on campus? (not required)

If you are requesting financial assistance, please explain your situation and potential risk of homelessness during the break period. If you are not requesting financial assistance, please leave this box blank. (not required)

If you are not able to stay on campus during winter break you would be (not required):

Homeless
Staying with friends or family
In an unsafe situation
In an unsupportive situation

Consent*

By clicking this box, I agree to, and will pay, the room charges as stated above. I understand that I am allowed to stay on campus ONLY for the dates listed above. IF there are changes to these dates, I am responsible for notifying the Housing Office ahead of time. I have read and agree to the statements above. If the winter break application is accepted by EWU Housing and Residential Life, I agree to abide by the terms and conditions of this Contract, the EWU Student Conduct Code, and Housing and Residential Life Policies.

I agree.

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