Housing Listing Registration Form Please fill out this form and sumbit it to the Office of Off-Campus Housing. Please check one: Required Off-Campus Resident Student Commuter Student Please make a choice from one of the options above. First Name: Please include your First Name. Middle Initial: Last Name: Please include your Last Name. Student ID: Please include your Student ID. Gender: M / F: Grad Year: Iona Email: Please enter a valid email address. Cell: Off-Campus Address: Please enter your address. City: Please enter your City. State: -- AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Please enter your State. Zip: Please enter your Zip. Apartment #: Floor: 1st 2nd 3rd Whole House Other Please enter your roommates' name(s): Please enter your landlord's name(s) Anti-spam code: Enter the word "housing" (without quotes) in box above. Please enter the anti-spam code. Questions? Please contact: Michele L. Sampson.