Medaille Residence Life Thank you for taking an interest in Medaille's Residence Life program. If you are interested in details about living on campus at Medaille, please complete and submit this form. This allows our Residence Life staff to get to know you and answer your questions directly. Thank you! First Name: M.I. Last Name: Address: E-mail: City: Phone (Home): State/Province: AB AK AL AR AZ BC CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SK SD TN TX UT VA VI VT WA WI WV WY YT Other Phone (Work): Zip/Postal Code: Male      Female Country: School Information High School Attended: Year of Graduation: Are you a transfer student from another college? Yes       No If Yes, what college did you attend? Birth Date: Would you be attending Medaille as a... Freshman     Transfer    Canadian Education Certificate Are you interested in: Graduate Undergraduate Are you interested in student housing? Yes       No Are you interested in Athletics? Yes       No Intended starting date: Spring 2004 Summer 2004 Fall 2004 Spring 2005 Summer 2005 Comments and questions for the Residence Life Department:
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