The Summit Housing Application

All information with a red label is required.

Applicant Information

First MI Last

Permanent Home Address

Street

Street2/Apt

City

State Zip

Home Phone

Cell Phone

Date of Birth

International Student

Student ID

Gender

M F X Other

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

Expected Graduation Date

School Attending

Expected Major

Do you plan to use financial aid to assist with paying for Housing?

Yes No Uncertain

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

First MI Last

Home Phone

Cell Phone

Work Phone

E-mail

same as Emergency Contact Information

Street

Street2/Apt

City

State Zip

Rank Order Room Preferences

Rank only those unit types which you will accept. Spaces are assigned first-come, first-served. You will not be assigned and/or offered a license if you are determined ineligible for housing by Queens College and/or the spaces you rank are already assigned.:

1st Choice

2nd Choice

3rd Choice

Roommate Information

Please list preferred roommates (max of three):

First Last Email Phone

If possible, I would like to be assigned to a room in proximity to: Graduate students Honors students Freshmen students

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: Queens College and CUNY are tobacco-free and smoke-free, including vaping. Accordingly, The Summit Apartments is a smoke-free community.

Alcohol:
I drink I do not drink I cannot drink; I am not of age

Note: Queens College and CUNY are substance-free and alcohol-free. Accordingly, The Summit Apartments is a substance-free community and alcohol is prohibited, regardless of age.

Sleeping Habits:
Early Riser (get up early)
Afternoon Napper (takes naps in the afternoon/early evening)
Night Owl (stays up late)

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:

Special considerations:

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

Terms and Conditions

Applicant understands that if, at any time, there are vacant beds in the applicant's assigned apartment, The Summit reserves the right to assign roommates without prior notice and/or relocate the applicant (named above) to another unit. Applicant further understands that roommate compatibility is not guaranteed and that roommate conflicts are not acceptable reasons to terminate a license. 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 Queens College of the City University of New York and The Summit staff, 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.

Once an application is submitted, you will receive an electronic copy of the Housing license via email for you to submit. Likewise, your above-named Guarantor will receive an electronic form that will need to be completed and submitted as well. Submission of an application does not constitute a guarantee of admission to Queens College or a guarantee of a housing assignment.

All applicants have forty-eight (48) hours from submission of the Housing License Agreement to request cancellation with no financial penalty. Housing License Cancellation prior to occupancy (occupancy defined as resident receipt of a key) will be accepted subject to charges as outlined in the Housing License Agreement. Once an assigned and licensed resident accepts a key for an assigned space in The Summit, all payments are due per the payment schedule as stated in the Housing License(s), regardless of cancellation.

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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