Housing Application Form

In order for your preference to be considered, this form must be submitted by:

  • June 1 for the fall term
  • December 1 for the spring term
Personal Information
Housing Agreement

I have read the AJY housing policies and the description of housing in Heidelberg in the AJY Pre-Departure Handbook and would like to indicate that:

Room Preference

The program secures each student a room and expects that you will accept your room assignment. You may have to accept a housing arrangement different from what you desire, but please be assured that final assignments will be made in the fairest manner possible. For further information, see “Housing” in the AJY Pre-Departure Handbook.

Please select a 1, 2, or 3 to rank your first, second and third choices for housing
Refresh Type the characters you see in this picture.
Type the characters you see in the picture; if you can't read them, submit the form and a new image will be generated. Not case sensitive.  Switch to audio verification.

Contact Information
Heidelberg University
310 E. Market St.
Tiffin, Ohio 44883-2462

Phone: 419-448-2062
Fax: 419-448-2217