STUDENT HOUSING

APPLICATION FORM

First Name

Phone

Date of Birth

Home Address

Planned move-in date

Roommate Request

Last Name

Gender

School Name and Program Name

Planned move-out date

Are you an international student?

Emergency Contact Name

Emergency contact email

Emergency Contact phone number

Emergency contact relationship

Choose Room Type

Shared Room with Shared bathroom - $1195 per person/per month

Private Bedroom with Shared Bathroom - $1950 per month

Private Bedroom with Private Bathroom - $2290 per month

Studio Apartment - $3900 per month

*Leases shorter than 12 months will have a 15% increase in monthly rent, except for One Month leas (Shared room/shared bathroom option with One-Month lease is $1475).

**$250 placement fee and refundable security deposit applicable. ($500 for shared room. $800 for private room, $1,500 private apartment)

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