Student Intention Form: 2023/24 Academic Year | Student Life

Personal Information
Preferred Name *
Middle Name
Last Name *
Pronouns
Student ID *	XX-XXXXX
Personal Email *
Cell Phone # *
Emergency Contact *
Emergency Phone # *
Student Intention
Returning Info *	Yes – I plan to return to CMU (check all applicable):
	Fall 2024 Winter 2025 I am applying for Estamos for Fall 2024 and intend to return to Shaftesbury campus in Winter 2025 I am applying for Estamos for Fall 2024 and do not intend to return to Shaftesbury campus
	Not sure – I would like to talk with an Academic Advisor.
	Comment:
	No – I'm not returning to CMU because:
	Graduating in April 2024 Transferring to to complete a program in Taking a year off and plan to return 2025-26 Financial Reasons Academic Reasons Study Permit Challenges Other reason:
Academic Program * Current intention	Not Applicable – Not Returning Bachelor of Arts (3 year) – Major(s): Bachelor of Arts (4 year) – Major(s): Bachelor of Business Administration (4 year) – Major: Bachelor of Music Therapy (4 year) Bachelor of Music (4 year) with a concentration in: Bachelor of Science (3 year) – Major(s): Bachelor of Science (4 year) – Major(s): Pre-Professional Studies in: Master's Degree in:
Do you expect to graduate from CMU in April 2025? *	Not Applicable – Not Returning Yes – I plan to finish studies December 2024 Yes – I plan to finish studies April 2025 No
Will you require on-campus housing? *	Not Applicable – Not Returning Yes – Fill in the below information No, will commute Not sure – Would like to talk to the Residence Director

Housing Application
CMU offers a reduced rate to students who choose to live in dorm.
If you are currently in your first year AND choose to live in dorm next year, you will receive a $750 reduction from your annual meal plan ($375/semester). This applies to everyone who completes a year of study at CMU, whether you presently live in dorm or not. If you are currently in your second or third year AND choose to live in dorm next year, you will receive a $1000 reduction from your annual meal plan ($500/semester). This applies to everyone who has completed 2 or more years of study, whether you presently live in dorm or not.
For further details see Mackenzie Nicolle, Residence Director (A02, south side).
Applying for *	September 2024 January 2025 Both terms (2024-25)
First choice for accommodation *
Second choice for accommodation *
Give reasons for your selection (which will assist the Housing Committee in assigning space).

Please identify any allergies, accessibility needs, or special requirements the Housing Committee should be aware of.

Please provide one or more name(s) if you wish to request specific roommates. Assignments will be made once applications have been received from all individuals named below.

If you have a spouse and/or children who will be living with you, please indicate name of spouse and name(s) and age(s) of children.

Additional Info
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