Hello world! - The Triangle Towers

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Housing Application

Step 1 of 6

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-APPLICANT INFORMATION
First Middle Last
Parmanent Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
Cell Phone
Your Info
Date Format: MM slash DD slash YYYY
Are you an International Student?*
- no
- yes
Student ID
Prefferred Genger*
- male
- female
Email Address
Personal Email
Choose email address you prefer to recive information:
- school
- personal

+SCHOOL INFORMATION
Expected Major

+EMERGENCY CONTACT INFORMATION
First Middle Last
Cell Phone
Email
Parmanent Home Address
Street Address City State / Province / Region ZIP / Postal Code Country

+missing person contact information
First Middle Last
Cell Phone
Email
Parmanent Home Address
Street Address City State / Province / Region ZIP / Postal Code Country

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When do you want to come visit?

Date*
Date Format: MM slash DD slash YYYY
Untitled*