Crandall Housing Application - Crandall University

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Please note:
Crandall Students are required to apply each year of their academic studies for residence.
If you have general questions about on campus housing or about the residence application process, please email the Office of Housing and Campus Life (crystal.knowles@crandallu.ca).
All information submitted on this application is confidential.

Application for entry:*

Applicant Information

Last Name:*

First Name:*

Middle Name:

Preferred First Name:*

Home Address - Street:*

City/town:*

Province/State:*

Postal/ZIP Code:*

Personal Cell Phone:

Email:*

Student #:

Date of Birth:*

* If you are a new applicant to Colburne House and over 23 at the time of application, please make an appeal for residency by contacting crystal.knowles@crandallu.ca.

Gender:*

Have you ever been convicted of a criminal offense?

Yes

Medical Information

Health Plan Province*

Health Care Number:*

Allergies:*

Food or diet concerns:*

List any medications you are currently prescribed:*

Are you under the care of a counselor or other mental health professional?

Yes

Please note any medical condition (physical or psychological) our staff should be aware of:

For the safety and security of all of our residents, it is a requirement that the student be able to manage his or her medical condition in order to remain in residence.

Emergency Contact Information

Please provide us with the information of someone we could contact in case of an emergency relating to your health or well-being while staying in residence.

Name:*

Relationship:*

Primary Phone number:*

Email:*

In the event of an emergency, Crandall University is authorized to contact my parent/guardian.

Yes

References

Please list two references you would authorize Crandall University to contact regarding suitability for on campus housing.

Reference #1 - Family/friend*

Reference #1 contact email*

Reference #2 - Employer/Ministry Leader*

Reference #2 contact email*

Application Confirmation

This is an application only and not a guarantee of housing. Once you receive an offer of residence, it is your responsibility to pay a $400 residence deposit to hold your space. This fee is required your first year of residence only, it carries over year to year.

Costs: Please note that current housing costs are listed at http://www.crandallu.ca/crandall-services/tuition-fees/ All costs are subject to change annually as of July 1st.

Please indicate your agreement with the following:

• All of the information submitted in this application is true to the best of my knowledge.

Acknowledge here:*

• I understand that all selections I have made are preferences only and that there are no guarantees of room or roommate selection.

Acknowledge here:*

• I understand that I will not be assigned a room until I have submitted my $400 residence deposit (first year in residence only).

Acknowledge here:*

• This application is for the full academic year (both fall and winter semesters). Dates are noted within the Academic Calendar.

Acknowledge here:*

• Crandall University reserves the right to deny a request of residency without explanation.

Acknowledge here:*

• A Housing Agreement will be required upon offer of residence. This will indicate your agreement to abide by all residence expectations outlined in the Residence Life Handbook.

Acknowledge here:*

Please type your name and date below. Entering your name here indicates your agreement with the information submitted above:

Signature:*

Date:*

Crandall University Campus Housing Application