Interested in living at the Newman House? Please fill out the application below and Traci will be in touch with you shortly regarding your spot for the upcoming school year. Any questions about the contract or application process can be directed to Traci at

Legal Name *
Legal Name
Birthdate *
(Upon entering Newman House)
Permanent Address *
Permanent Address
Phone Number *
Phone Number
Please enter a number where we can reach you
Please include name and relation. This information is in case of emergency
Parent or Guardian Phone *
Parent or Guardian Phone
Please include name, clinic or hospital, and phone number
Please include semester and year (ex. Fall 2018)
If Yes, Please provide the director (by email) with a statement of a thorough explanation including the date, the county, city and state of conviction, and penalties imposed.
If yes, you will be sent a form to request the appropriate arrangements. Federal law prohibits pre-admission inquiry about disabilities. Information regarding physical or emotional disabilities voluntarily given or inadvertently received will be kept confidential and has no influence on your admission to UND. Newman House is not covered under Title III of the ADA.
Room Preference *
Newman anticipates that rooms will be contracted on a double occupancy basis. However, as Newman's sole discretion rooms can be contracted on a single basis. Please check all that apply.
Please list one person only. Roommate requests are not guaranteed and must be mutual. Those desiring to room together should apply at the same time and make sure to get contracts and deposits to the house director on time.
Please enter your full legal name in the box below.
Today's date *
Today's date