Kalas Village Application

Name*

First Last

Student ID Number*

Degree Program*

Date of Birth*

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender

Housing is needed beginning which semester?*

Year*

Desired Move-in Date*

NOTE: Our office will do our best to accommodate you, but we cannot promise that you will be moved in by this date.

House Type Preference (First Preference)*

NOTE: Our occupancy policy allows for up to 2 people per bedroom. No more than 4 people may reside in a 2-bedroom unit. No more than 6 people may reside in a 3-bedroom unit. No more than 8 people may reside in a 4-bedroom unit. Pet Housing units are 3 bedrooms.

House Type Preference (Second Preference)*

Are you an international student?*

Do you need a furnished unit?*

Marital Status*

Single
Married
Engaged

Fiancé’s Name

First Last

Wedding Date*

Spouse's Name*

Children

Name	Date of Birth	Gender

Additional Requests

Do you have any health concerns, special requests, or accommodation requests? NOTE: If so, the housing office will contact you regarding additional paperwork.

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