Dissertation Room Application

Cecil H. Green Library
Academic Year 2015/2016

Completing this form will add your name to a wait-list only.

* indicates required fields.

Application Type *

Name and Contact Information

University ID *

Name *

First *

Last *

Email *

Phone *

Affiliation

Dissertation rooms are available to doctoral candidates only.
Priority is given to those in the humanities and social sciences.

Department *

Your status: *

Doctoral Student

Advanced to Candidacy

Check all quarters for which you are requesting assignment *

Summer 2015

Fall 2015

Winter 2016

Spring 2016

Room Share Preference

All Dissertation Rooms are shared. You may request a specific person you would like to share with and we will make every effort to accommodate you both.

Name of individual you would like to share with

Location Preference, if any.