Demographic Information

Gender Identity(Required)

MM slash DD slash YYYY

Rental History

Have you ever been sued for non-payment of rent?(Required)
Have you ever broken a rental agreement or lease?(Required)
Have you ever been evicted or asked to move out?(Required)
Have you ever been convicted of, or plead guilty or “no contest” to, a felony?(Required)

Housing Options & Preferences

Please select the session for which you are applying.(Required)
Are you open to coed housing?(Required)

Emergency Contact



The information supplied is complete and accurate to the best of my knowledge, and I am an affiliate of Wake Forest University.(Required)
By submitting this form, I give permission to WFU to release my Student Conduct records to the Wake Washington Program.(Required)
This field is for validation purposes and should be left unchanged.