PALANA SOCIAL HOUSE: Housing Application 
Welcome to the PALANA (Pan-African, Latino, Asian, and Native American) application!!! Thank you for showing interest in living in the PALANA house. We are so excited to get to know each and every one of you. We encourage all students to apply especially if you are a member of PALANA or plan to be a member :))) After the housing application process is completed, students will get an email regarding next steps. 

This year we have two housing deadlines the first will be March 8th! This deadline will be for students that prioritize living in PALANA house and will be opted out of the regular room selection processes. 

The second deadline will be April 10th, this deadline will be right before the final room selection process of the spring, and is also after all of the processes for group spaces (suites, small houses, etc.) have taken place. This means if you're unhappy with your time-slot or limited room availability you still have an option to live in PALANA! 

Disclaimer* We will prioritize students applying by the March 8th deadline. and this form will close Friday, March 8 at NOON and reopen in April! 

*NOTE* You do not need to apply to live in the house if you just want to be a member. The new member process is different, and there will be more information on the process released soon. Also the floor plan of the house is below if you want to get a feel of the sizes of the suites and the space. 

First years interested in living in the PALANA house are encouraged to apply as well!!!

Love, The PALANA Board
Email *
HOUSE LAYOUT
Name *
What is your student ID number? *
What is your class year? *
Do you plan to live in PALANA for a semester or for the entire year? Select all that apply. ( we can't accept people going abroad in the spring) *
Required
Regarding housing in Palmer house, we as the board will try our best to accommodate everyone. However, the reality is that all beds need to be filled and we would like to be most prepared. Please list your housing preferences below and also fill out the second part to this question below. *
Nah fam. I am about this single life.
I am down for that double life.
Please list two - three people you would feel comfortable sharing a room with. (Please make sure this person is aware that you have put their names in this housing application and that they are also applying.) *
Please list the names of people whom you would like to potentially share a suite with. Suite arrangements can range from 1-2 doubles and 1-3 singles. * See housing layout above* *
Why are you interested in living in the PALANA House? How do you see multiple aspects of your identity fulfilling the mission statement? (250 words max) *
What do you hope to gain from joining the PALANA community? What type of support would you like to see from the PALANA board and fellow members? (250 words max) *
Any additional info/concerns/questions?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Middlebury. Report Abuse