Proxy Form

Proxy Form

Please use this form when designating another student to attend Room Selection Day in your place. This person will be allowed to choose your space for the upcoming Academic Year.

When choosing your proxy, please be sure to adhere to the following guidelines:

  • Your Proxy can be any Augustana student you designate to take your place during contracting. However, they must be a current Augustana student.
  • Your Proxy will be allowed to use your Room Selection Number to choose your space only. They will not be allowed to select their own space at that time, unless the two of you are selecting the same space as roommates.
  • You must complete a Housing Contract for 2015-2016 to confirm any selected space. Housing Contracts are located on the Student Portal, under “Student Info” and “Housing and Dining.”

Note: If you are unable to identify a Proxy, please contact the Campus Life Office. You will be asked to fill out a Room Selection Preference form indicating your preferred living arrangements. A CampusLife Staff member will then choose a space for you at your time on Room Selection Day. If you need help identifying a Proxy, you must contact the Residence Life Office Office by 5 pm on March 27, 2015 to guarantee our assistance in choosing a space.

Please provide your top three options for living for the coming year. This will help us in the event we need to act as your proxy or should your proxy have questions when they arrive.