Undergraduate International Tuition Deposit and Housing Request Form

Personal Information

Freshman Transfer Visiting/Exchange

Summer (May 2016) Fall Semester (August 2016) Spring Semester (January 2017)

Male Female


Yes No

Parents, Guardian, or Spouse Information

Daytime Contact Person Information

I plan to live in a Valparaiso University residence hall.
I plan to live off-campus and commute to Valparaiso University.

Contact Information

Office of International Programs
1509 Chapel Drive , Harre Union Room 209
Valparaiso, Indiana 46383
Tel: 001-219-464-5333
Fax: 001-219-464-6868

Mr. Moninder "Holly" Singh
Director of International Students and Scholars