Kalas Village Application

Visit

Name*
First Last
Student ID Number*
Degree Program*
Date of Birth*
Month
Day
Year
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Gender
Housing is needed beginning which semester?*
Year*
Desired Move-in Date*
Month
Day
Year
NOTE: Our office will do our best to accommodate you, but we cannot promise that you will be moved in by this date.
House Type Preference (First Preference)*
NOTE: Our occupancy policy allows for up to 2 people per bedroom. No more than 4 people may reside in a 2-bedroom unit. No more than 6 people may reside in a 3-bedroom unit. No more than 8 people may reside in a 4-bedroom unit. Pet Housing units are 3 bedrooms.
House Type Preference (Second Preference)*
Are you an international student?*
Do you need a furnished unit?*
Marital Status*
- Single
- Married
- Engaged
Fianc茅鈥檚 Name
First Last
Wedding Date*
Month
Day
Year
Spouse's Name*
Children
Name Date of Birth Gender
Additional Requests
Do you have any health concerns, special requests, or accommodation requests? NOTE: If so, the housing office will contact you regarding additional paperwork.

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Name	Date of Birth	Gender