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Fields marked with * are mandatory. If you would like a roommate, please fill out our Request a Roommate form after you complete this application. 

RESIDENT INFORMATION
Name *
Name
Address *
Address
Date of Birth *
Date of Birth
GUARANTOR INFORMATION
Name *
Name
Address *
Address
Date of birth *
Date of birth
HOUSING REQUEST
Preferred Room Style *
ROOMMATE REQUESTS (if any)
If you have already chosen your roommates, please indicate below. All roommate choices must be mutual. Unfortunately roommate requests cannot be guaranteed.
1st Roommate
Name
Name
2nd Roommate
Name
Name
3rd Roommate
Name
Name
4th Roommate
Name
Name
GUARANTOR TO COMPLETE
Please provide your consent to the COLLECTION USE AND DISCLOSURE OF INFORMATION (see link to GUARANTOR PRIVACY CONSENT DOCUMENT below application form) by checking the box below.
Date *
Date
Name *
Name
 

If you would also like a roommate, please fill out our Request A Roommate form. 

View Guarantor Privacy Consent Document