New Student Housing Application for Living Learning Centers Academic Year 2022-2023

Fisk University 

Office of Residence Life and Campus Services

100 17th Avenue North

Nashville, Tennessee 37208

Office: (615) 329-8843 Email: housing@fisk.edu



Housing Application

Welcome to the Fisk Family! This portion of the application will be used to determine your housing placement. Priority deadline submission is May, 27, 2022.  All accommodations are based on availability. Applicants cannot request a specific room. 

Student Information

A00000xxxxx (Please Input Last 5 Digits Only)
Please Select One
Date of Birth*
Month/ Date/ Year
Gender*
Name*
Home Address*
In case of an emergency, please contact the following person: (Emergencies include but are not limited to health, safety, missing person, and other designated emergencies).*
Please Select One
Is emergency contact's home address the same as the student applicant?*
If yes, please skip Emergency Contact Home Address question.
Emergency Contact Home Address

I hereby understand and acknowledge the following guidelines:

It is required of all undergraduate students who are unmarried and financially dependent on parental support, to reside on campus. Fisk believes that participation in the give-and-take of campus life is an indispensable part of a university education. The Office of Student Engagement may make exceptions when the student is a legal resident of Davidson County, or when there is a temporary shortage of living learning center space, or due to personal circumstances. When an exception is granted, it must come in the form of written approval from the Office of Student Engagement and must be received prior to the beginning of the registration period in which the student seeks permission for off-campus residence. This contract is binding for the Academic Year (August 2022- May 2023). All students who reside in the living learning centers must sign a housing contract and purchase the continuous dining meal plan.

Discrimination based on race, religion, color, national origin, sex, age, or handicap is forbidden on the campus of Fisk University.

The university cannot assume responsibility for the loss or damage to any vehicle (or its contents) operated or parked on Fisk University property. It is strongly recommended that students living in campus housing not bring vehicles to the campus. Freshmen are especially advised against bringing their vehicles. Students who bring a vehicles to campus are required to provide proof of insurance to the Office of Campus Safety.

Use your mouse or finger to draw your signature above

Lifestyle Questionnaire

This section will be used to best match you with a roommate.  Please answer each question to the best of your ability. All students will be assigned with a roommate.

Do you have a specific request for a roommate?*
If yes, please complete the next two questions.
Preferred Roommate's Name (Please note, in order to be matched the request must be mutual.)
Roommate Preferences *
Roommate Preferences
  Yes No Indifferent
I prefer to smoke.
I prefer to be paired with a smoker.
I prefer to wake up early.
I prefer to be paired with an early riser.
I prefer to go to bed before 12:00 am.
I prefer to be paired with someone who goes to bed early.
I prefer to study late at night.
I prefer to study in a quiet environment.
I prefer to listen to loud music.
I prefer to be assigned to a Co-Ed floor. (Not available for Freshman students)
I prefer to be assigned to a quiet floor.
I prefer to regularly clean my room.
I prefer a room temperature that is hot.
I prefer to have frequent guests in my room.
I prefer to spend most of my weekends off campus.
Please note that smoking is strictly prohibited on campus and in the Living Learning Centers.

Personal Record Form

This portion of the application includes additional information used to help match you with another student.

If you are not a transfer student, please skip this question.
Date of High School Graduation*
Month/ Date/ Year
Examples: Class President, Team Captain, Student Council, etc.
Do you have any relatives who have attended Fisk University?*
If no, please skip the next question.
Last Name, First Name
Last Name, First Name/ Relationship to Applicant/ Contact #/ Email Address
Last Name, First Name/ Relationship to Applicant/ Contact #/ Email Address

Health Information Form

Please complete this portion of the application. This information will assist our staff in the event of a medical emergency.

If none, please indicate in the space above.
If none, please indicate in the space above.
If none, please indicate in the space above.
If none, please indicate in the space above.
If none, please indicate in the space above.
If none, please indicate in the space above.
Do you have health insurance/ hospitalization coverage?*
Please note that Fisk University does not provide health insurance coverage for students. If none, please indicate in the space above.

Housing Deposit and Room Reservation Fee

Housing Deposit and Room Reservation Fee must be paid before an assignment will be made. The Office of Residence Life and Campus Services cannot process payments. All payments must be processed through the Office of Student Accounts.  Please click the link below to submit payments for the Housing Deposits.  Selecting Housing Deposits will cover payment for the refundable Housing Security Deposit and the non-refundable Room Reservation Fee.  Applications are considered incomplete without submission of payment.

 Submit Payment for $203 Housing Deposit

No File Chosen
File uploads may not work on some mobile devices.
Please upload a copy of your confirmation receipt for your Housing Deposit.
I hereby confirm that I have submitted payment for the Housing Security Deposit and Room Reservation Fee ($203.00). Type Name.*

2022-2023 Living Learning Center Contract

Please review and complete the Living Learning Center Contract found at the link below.

2022-2023 LLC Contract



No File Chosen
File uploads may not work on some mobile devices.
Once the Living Learning Center Contract has been completed, please save as a new PDF document on your PC or phone. Please upload your completed copy above. Before upload, make sure your contract is completely filled out. Blank submissions or incomplete sections will make you housing application incomplete.
I hereby confirm that I have read and submitted an electronic copy of the 2022-2023 Living Learning Center Contract. I understand that my application will be considered incomplete until a signed copy is submitted. Type Name.*

Health Exam Form

Please review and complete the Health Exam Form found at the link below.  Fisk University requires all students to be vaccinated and boosted for COVID-19.  If unable to receive the vaccine due to medical or religious purposes, please complete the COVID-19 Exemption Form found below.

Health Exam Form

COVID-19 Exemption Form

No File Chosen
File uploads may not work on some mobile devices.
Please upload a copy of your Health Exam Form here. We also accept a digital copy of your Immunization Records in lieu of the Health Exam Form.
No File Chosen
File uploads may not work on some mobile devices.
Please upload a copy of your COVID-19 Vaccination Card or Exemption Form here.
I hereby confirm that I have read and submitted an electronic copy of the Health Exam Form and a copy of my COVID-19 Vaccination Information. I understand that my application will be considered incomplete until a signed copy is submitted. Type Name.*
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