Please fill out this form to ensure that you receive an application and information for The Courtyard at Winthrop.  We will send the information to you within 24 hours after we receive this form.
All fields marked with * are required.

*Full Name:     *Gender: Select One Male Female

*Email Address:

*Phone:  Campus PO Box:

*Home Address:

*City:*State:*Zip:

*Classification 1st Sem Freshman 2nd Sem Freshman Sophmore Junior Senior Graduate

*Current Housing Assignment: Richardson Wofford Phelps Lee Wicker Margaret Nance Thomson Not on Campus Room#: