Request for UNO Housing Application

Once this form has been received, our team will contact you via email with more information. Questions? Email unohousing@unomaha.edu

NUID

If applicable.

What is your affiliation to UNO/UNMC?*

First Name*

Middle Name

Last Name*

Permanent Address*

Street, City, State, Zip Code, and Country

Cell Phone Number*

If you do not have a cell phone number, please enter NA.

Email*

Date of Birth*

Gender*

Criminal Background*

Have you ever been found responsible for or convicted of a felony or any crime which included physical harm such as assault, sexual assault, stalking, dating or domestic violence, or a crime which involved death of another?* *You are not required to answer “yes” to this question, or provide an explanation, with respect to any offense for which the record is sealed. If yes, please describe. If no, type N/A.

Criminal Background Cont.*

Have you ever been suspended/dismissed from another college/university for non-academic reasons?* *You are not required to answer “yes” to this question, or provide an explanation, with respect to any offense for which the record is sealed. If yes, please describe. If no, type N/A.

Housing Start Date*

When do you need the housing contract to start?

Housing End Date*

When do you need the housing contract to end?

Housing Preference*

Select or enter value

Send me a copy of my responses

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