Undergraduate International Tuition Deposit and Housing Request Form

Personal Information


Freshman Transfer Visiting/Exchange


Summer (May 2014) Fall Semester (August 2014) Spring Semester (January 2015)










Male Female

mm/dd/yyyy


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
international@valpo.edu
Tel: 001-219-464-5333
Fax: 001-219-464-6868

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