All information with an red label is required.

Applicant Information

First MI Last

Permanent Home Address

Street

City

State

Zip/Postal Code

Province/Country

Home Phone

Cell Phone

Date of Birth

International Student

Student ID

Gender Male Female

E-mail Address

School E-mail

Personal E-mail

Choose the email address you prefer to receive information:

School Personal

Preferred Agreement Term

School Information

Number of Credits

Cumulative GPA (2.0 or higher)

Expected Major

Expected Move In

Status

Expected Graduation Date

Emergency Contact Information

First MI Last

Home Phone

Cell Phone

Work Phone

E-mail

Same as Permanent Home Address

Street

Street2/Apt

City

State Zip

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 MI Last

Home Phone

Cell Phone

Work Phone

E-mail

Same as Permanent Home Address

Street

Street2/Apt

City

StateZip

You will receive a housing agreement within 24-72 hours. The license agreement will be sent from a company called HelloSign, to the email address you provided in the application. Your guarantor will receive a separate email for their signature which will serve as a notary. All residents are required to have a guarantor, and will not be allowed to sign a housing license agreement without one.

Roommate Information

Please list preferred roommates (max of three):

First Last Email Phone

If possible, I would like to be assigned to:

1st Choice:

2nd Choice:

3rd Choice:

If possible, I would like to be assigned to: Graduate Floor

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:

I smoke I do not smoke

Note: Christa McAuliffe is a smoke-free community; smoking is limited to designated outdoor areas.

Alcohol:

I drink I do not drink I can't drink; I'm not of age

Note: Christa McAuliffe is an alcohol-free community.

On most weeknights I:

Watch TV
Study
Listen to Music

Entertain Friends
Go Out
Work

On most weekends I:

Watch TV
Study
Listen to Music

Entertain Friends
Go Out
Work

Studying:

Where I Study	How Much I Study	When I Study
I prefer to study in my bedroom	I study less than 1 hour/day	I prefer to study in the morning
I prefer to study in the living room	I study 1-3 hours/day	I prefer to study in the afternoon
I prefer to study at the library	I study more than 3 hours/day	I prefer to study at night

Other people consider me to be:

Immaculately Clean [1]

Very Messy [5] Your selection:

Extremely Quiet [1]

Really Outgoing [5] Your selection:

Morning Person [1]

Night Person [5] Your selection:

I am active in the following activities and organizations:

Special considerations:

I give permission to release my contact information and roommate matching preferences to prospective roommates.

Terms and Conditions

Applicant understands that to secure use of a bedroom within an apartment, he/she must complete all License Agreement paperwork and pay all fees. Applicant understands that if, at any time, there are un-licensed bedrooms in the applicant's assigned apartment, Maryland Economic Development Corporation ("MEDCO") reserves the right to assign roommates without prior notice and/or 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 License Agreement. Applicant further authorizes free exchange of information between Bowie State University and MEDCO, including but not limited to the applicant's student status, academic records, judicial records, and financial records.

Applicant understands that a financially-responsible Guarantor (over the age of 21) is mandatory for the completion of the License Agreement process, and failure or refusal to provide a Guarantor may result in the cancellation of this application and any resultant 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 License Agreement, especially those areas regarding earnest monies.

APPLICANT SIGNATURE: