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Room Grant Application/Renewal Form
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* Indicates required question
Today's Date
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MM
/
DD
/
YYYY
Full Name
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Your answer
Email Address
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Phone Number (XXX) XXX-XXXX
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Your answer
Street Address (Not Wesleyan Mailbox)
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Student ID
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Your answer
Grade Level/Classification
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Freshman
Sophomore
Junior
Senior
Which semester are you applying/renewing for? (i.e. Fall 2021, Spring 2022, Fall 2022, etc.)
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Your answer
Did you live on campus this year?
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Yes
No
Which housing facility did you live in this year?
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Stella Hall
OC Hall
Elizabeth Hall
West Village
I did not live on campus this year.
Why do you want to live on campus next year?
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Your answer
As of today, which theatre courses are you taking?
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Your answer
As of today, what is your current production hour total?
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Your answer
Did you receive a theatre department room grant for the current school year?
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Yes
No
By submitting this form, I am official submitting my application/renewal for a room grant for the next academic school year.
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Yes
No
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