Animal Friendly Application

Name*
First Last
Student ID Number*
Degree Program*
Application Type*
Date of Birth*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Gender
Housing is needed beginning which semester?*
Year*
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.
Pet Information
Please review the Animal Housing Policy.
Pet's Name*
Attach Photo of Pet*
Max. file size: 128 MB.
Type/Breed*
Age of Pet*
Sex*
Weight*
Anticipated full-grown weight*
Pet Documents
Drop files here or

Max. file size: 128 MB.

Please attach most recent rabies vaccination, shot and spayed/neutered records in compliance with Kentucky law.

Pet Reference

If you are not already settled in the Wilmore area, please provide us with the most up-to-date information regarding your pet’s veterinary information and emergency caretaker. This information must be updated with the housing office if any changes are made upon moving.

Veterinarian Name and Clinic Name*

Vet/Clinic Address*

Street Address Address Line 2 City State ZIP Code

Vet/Clinic Phone*

Pet Emergency Caretaker

Emergency Contact - Name*

First Last

Emergency Contact Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact Phone*

Relationship to Lessee*

Finalize Application

I understand that this is a contract. I understand that after my Housing Application and Deposit have been received, I will be placed on the housing wait list, but without guarantee of assignment. I also understand that this deposit will become part of the security/damage deposit when I occupy Seminary housing. If Seminary housing is not available for the term specified above and I do not wish to remain on the priority list for future assignment, I may request a refund. If I accept, but then decline, the Seminary housing offer, or if I do not show up for my reservation, then the deposit is forfeited.

I understand my agreement to reside in campus housing at Asbury Theological Seminary requires my primary campus be assigned to the Wilmore, Kentucky campus, and my campus housing address be listed as my correspondence address in my student records.

Signature*

Enter your full name to indicate read and agree with the terms of the contract.

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Animal Friendly Application