All information with a red label is required.
Applicant Information
First MI Last
Preferred Name
International Student CWU-Des Moines Student
RTC Student Summer Intern Housing
Kaplan Student
SSN
Permanent Home Address
Street
Street2/Apt
City
State Zip
Home Phone
Cell Phone
Date of Birth
calendar icon
Student ID:
How did you hear about Campus View?:
 
E-mail Address:
School E-mail
Personal E-mail
Choose the e-mail address you prefer to receive information:
School Personal
School Information
Expected Move In:        
Status when enrolling: 
Housing Agreement Term: 
Emergency Contact Information
First MI Last
Home Phone
Cell Phone
Work Phone
E-mail
same as Permanent Home Addres
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
SSN
Home Phone
Cell Phone
Work Phone
E-mail
same as Permanent Home Address
Street
Street2/Apt
City
State Zip
All residents are required to have a guarantor or I-20 form on file (International Students). Guarantors will be required to complete and sign the guarantor section of the Residential Housing Agreement.
Roommate Information
Please list preferred roommates (max of three):
First Last Email Phone
If possible, I would like to be assigned to: Two Bedroom Four Bedroom No preference

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: Campus View is a smoke-free community; smoking is limited to designated outdoor areas.
Gender neutral housing:
I prefer a gender neutral housing option. (selection authorizes Campus View staff to share non-identifying info for roommate assignment purposes only) I do not prefer a gender neutral housing option.
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
Highline Sports Team Member:
Volleyball Wrestling Softball
Soccer Basketball Golf
Tennis
I prefer to room with:
International Students Domestic Students Either
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:

On a scale of 1-5, with 1 being immaculately clean and 5 being very messy:

On a scale of 1-5, with 1 being extremely quiet and 5 being really outgoing:

On a scale of 1-5, with 1 being a morning person and 5 being a night person:


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

Applicant understands that eligibility for residence at Campus View includes active status as a Highline College student and a minimum of 6 credit hours per quarter to maintain residency eligibility.

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

Applicant understands that an application fee of $50.00 is due at the time of submittal of this housing application and is NON-REFUNDABLE and NON-TRANSFERABLE. Applicant also understands that the application fee does not reserve a space in Campus View Apartments.

I, the Undersigned Applicant, have read and agree to all provisions of this application. I have read and fully understand the terms and conditions set forth in this application. I understand that this application is a part of my lease agreement especially those areas regarding fees. I hereby authorize the management agent to make any necessary investigation as to the information contained in this application. I understand that this investigation may include, but not be limited to, a credit report, verification of employment, past rental history, student judicial and police records. I, therefore, consent to this investigation, and I certify that all stated facts are true, and it is understood that any misrepresentation or omission may be cause for the management agent and/or owners to reject this application and/or terminate this contract. I authorize the management agent to examine my criminal records and use the information as an additional basis to determine whether this application shall be approved or disapproved. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of this report.

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 Residential Housing Agreement. Applicant further authorizes free exchange of information between Highline College and COCM, 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 Residential Housing Agreement process, and failure or refusal to provide a Guarantor may result in the cancellation of this application and any resultant Residential Housing 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 Contract.


APPLICANT SIGNATURE: 



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