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Show IB3~f!lil.i§Ili@. Iffll~lli. ·f!!iPIPiw IB@~ ir®IP - .. lF~Il. (OJm~@~ b 'S- ,· •Swimming Pool, On Premises Laundry • Microwaves • Dishwashers • Cable TV • Private Courtyard Largest 1, 2, 3 bedroom, 2 bath apts. in town .. Gall fot appointments. Awards &.Discounts for top.students. ~· · , , .., < APPLICATION FOR SINGLE STUDENT HOUSING (MEN & WOMEN) To reserve space for the school year, complete the application below and return it with a $100 deposit. This will be your security/cleaning/damage deposit. The student is responsible to complete a rental contract before moving in or the deposit will be non-refundable and housing space will not be assigned. To GUARANTEE HOUSING SPACE THE NEXT QUARTER'S RENT MUST BE PAID IN FULL or a "full school year contract" be current. The Village Inn is a NON-SMOKING Residential complex. Today's Date_ _ _ _ __ Applicanfs name_ _ _ _ _ _ _ _ _ _ __ SS#_ _ _ _ _ __ Birth Date_ _ __ Year in school._ _ _ _ _ __ To assist in finding roommates with common interests, please complete the following: Religious preference Major Minor_ _ _ __ Will you be working? Where? Part time Full time_ _ Music preference Activities and Sports_ _ _ _ _ _ _ _ __ Are you on a scholarship? Type of scholarship_ _ _ _ _ _ __ ; 3 bdrm/2 bath unit ; private bdrm $200 per Applying for Shared: 2 bdrm unit quarter additional fee, three bedroom unit only, if space available.*** Roommate(s) preference, if Sex possible. (name(s) or assigned by management): - - - - - - - - - - - - - - - - car_ _ _ __ make_ _ _ _ _ license#_ _ _ _ _ _ __ __ City_ _ _ __ _ _ __ State Home address 2 i p _ __ __ Applicant's signature_ _ _ _ _ _ _ _ _ _ __ __ In case of emergency parent or guardian name_ _ _ _ _ _ _ _ __ _ _ _ __ Home phone number_ _ _ _ _ _ _ _ __ _ _ ___ - - -- -- - - - - - - - - I -- |