All information with a red label is required.
Applicant Information
First Last
Permanent Home Address
Street
Street2/Apt
City
State Zip
Province/Country
Region: 
Date of Birth
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Home Phone
Cell Phone
SSN
Emplid ID
Gender:
Preferred Pronouns
E-mail Address:
Choose the e-mail address you prefer to receive information:
 
School Information
College Attending:  
Expected Major       
CCNY Athletics Team Member: 
Expected Move In: 
Status at move in: 
Degree Program
Expected Graduation Date        
Emergency Contact Information
First Last
Cell Phone
Work Phone
E-mail
Street
Street2/Apt
City
State Zip
Province/Country
Guarantor Information
A guarantor must be a person over the age of 21, usually a parent, who agrees to be responsible if you are ever unable to fulfill the financial obligations of your housing agreement.  It is similar to having a co-signer.  Please provide the information below for the person who you expect to serve as your guarantor.
First Last
SSN
Cell Phone
Work Phone
E-mail
Street
Street2/Apt
City
State Zip
All residents are required to have a guarantor, and will not be allowed to sign a housing agreement without one. If you are unable to identify a guarantor, please contact the Towers Housing Office immediately to discuss your situation.
Room Preference

Please list preferred roommates (max of three):



If possible, I would like to be assigned to:


If possible, I would like to be assigned to the following unit type:

1st Choice:   
2nd Choice: 


Preferences
The following information will be used for roommate matching only.  Please complete this section as if you were talking to a prospective roommate and keep in mind that your honesty will benefit both you and your roommates.  Check all items that apply.
Smoking:


Note: The Towers is a smoke-free community; smoking is limited to designated outdoor areas.
Alcohol:



Note: The Towers is an alcohol-free community.
On most weeknights I:
On most weekends I:
Studying:
Where I Study How Much I Study When I Study

Other people consider me to be:
Immaculately Clean [1]
Very Messy [5]
Extremely Quiet [1]
Really Outgoing [5]    
Morning Person [1]
Night Person [5]
Do you require housing accommodations due to a disability? If yes, please explain in box below. You may be required to provide documentation regarding your disability.
I give permission to release my contact information and roommate matching preferences to prospective roommates.
How did you hear about us?
Terms and Conditions

Applicant understands that if, at any time, there are vacant bedrooms in the applicant's assigned apartment, Capstone Management reserves the right to assign roommates without prior notice and/or to relocate the applicant to another unit.  Applicant further understands that roommate compatibility is not guaranteed.

Applicant represents that all of the above information is true and complete and authorizes the verification of same by reasonable means.  Any misrepresentation or omission may be cause for the rejection of this application and/or the termination of the Housing License Agreement.  Applicant further authorizes free exchange of information between The City College of New York and other City University of New York institutions and Capstone Management, including but not limited to the applicant's student status, academic records, judicial records, and financial records to be used to determine whether this application shall be approved or disapproved.

Applicant understands and agrees that a reservation fee in the amount of $400.00 is required to reserve a space in The Towers, and failure or refusal to provide this deposit may result in the cancellation of this application and any resultant Housing License Agreement. Applicant agrees that the reservation fee will be applied to the License Fee, as defined in their Housing License Agreement. Agent may release Resident at any time from this License under limited circumstances upon receipt of a written Petition for License Agreement Cancellation requesting such extraordinary action accompanied by appropriate documentation. To seek release from the terms and conditions of this License, Resident must file a Petition for License Agreement Cancellation form with Agent. License Releases are extraordinary, not automatic, and will be reviewed, with appropriate supporting documentation review, for approval or denial, of the Petition for License Agreement Cancellation will be conducted by Agent.

Applicant understands that an application fee of $25.00 is due at the time of submittal of this housing application and is NON-REFUNDABLE and NON-TRANSFERABLE. Please note that submission of an application, application fee, and/or reservation fee does not guarantee that you will be offered a space at the Towers.

Applicant understands that a financially responsible Guarantor over the age of 21 is required for the completion of the application process, and that failure or refusal to provide a Guarantor may result in the cancellation of this application and any resultant Housing License Agreement.

I, the Undersigned Applicant, have read and agree to all terms and conditions set forth in this application.  I understand that this application is part of my Housing License Agreement, especially those areas regarding earnest monies.

APPLICANT SIGNATURE: 


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