Eliot House Lottery 2000



Eliot House Lottery 2016 Rooming Group Data Form

Turn in at Lottery Pick, Tuesday, March 28th 2017 in Dining Hall 8am –2pm

By signing this form, we commit to:

• entering the 2016 Eliot House Lottery as a rooming/blocking group

• agreeing to comply by the rules set up by the Housing Committee

• understanding that the room we pick through the lottery may be forfeited if anyone in our group misrepresents their housing standing

• understanding that if any member of the undersigned takes a leave of absence the house may place a floater in the space created or move our group to an appropriate sized room.

| |Name |Expected Graduation |Housing Standing |Signature |

| |Please print clearly |mo/year |(jr/sr) | |

|1 | | | | |

|2 | | | | |

|3 | | | | |

|4 | | | | |

|5 | | | | |

|6 | | | | |

|7 | | | | |

|8* | | | | |

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