Commuter Housing Application

Student Last Name: First Name: Mid Init:
Home Address:
Street address, P.O. box, c/o

Apartment, suite, unit, building, floor, etc.
City:
State (USA only):
ZIP/Postal Code:
Country:
E-mail Address:
Home Phone Number:
Cell Phone Number:
Hartwick Student ID:
Intended Meal Plan:

If your home is within 60 miles, you may be considered a commuter student. Please check if you will commute from home:
Yes, I will be commuting from home.