This form is intended for International Housing Students

    Male: Female:
*Name:

*Phone # (eg 91-00000-00000)

*Email address: eg(you@email.com)
*Date of arrival: eg.(MM/DD/YYYY)

*Ride needed Ceder Rapids Airport?

Yes No
*Type of housing (single/shared/etc)
*Monthly budget for rent
*Preferred roommate gender Male Female Any
*Other information (drink/smoke/vegetarian, non-veg/etc)

Extra comments