University of Nebraska Kearney

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Residence Hall Association

Move In Crew Application

 

 
 First Name:   
 Last Name:   
 Email:   
 Cell Phone Number:   
 Permanent Address:   
 City:   
 State:   
 Zip Code:   
 Local/Campus Address (Hall/Room Number):   
 Name of Emergency Contact:   
 Relationship to Emergency Contact:   
 Emergency Contact Number:   
 Class Standing/Role:
 		  
    
 Major:   
 T-Shirt Size:   
 List all UNK Organizational Involvement:   
 Notes (additional info we may need to know):   


      
 
 

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