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
calendar icon
International Student
SSN
Gender:
Male   Female
How did you hear about CCA?:
Have you ever been convicted of a felony?
E-mail Address:
School E-mail
Personal E-mail
Choose the e-mail address you prefer to receive information:
School Personal
School Information
Expected Degree       
Expected Move In:        
Status when enrolling: 
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
You must print and complete a Guaranty form as part of this application.  The guaranty must be signed by your guarantor in front of a notary, who will then complete the form and apply the notary public stamp or seal to validate it.  All residents are required to have a guarantor, and will not be allowed to sign a housing agreement without one.
Roommate Information
Please list preferred roommates (max of three):
First Last Email Phone
If possible, I would like to be assigned to: Flat Townhome 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 Corner Apartments is a smoke-free community; smoking is limited to designated outdoor areas.
Alcohol:
I drink I do not drink I cannot drink; I am not of age


Note: Campus Corner Apartments follows state alcohol laws; no resident and/or guests under the age of 21 are allowed to consume alcohol.
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
GRCC Sports Team Member:
Volleyball Baseball Softball
Cross Country Basketball
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:
Immaculately Clean [1]
Very Messy [5] Your selection:
Extremely Quiet [1]
Really Outgoing [5]     Your selection:
Morning Person [1]
Night Person [5] Your selection:

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 bedrooms in the applicant's assigned apartment Campus Corner Apartments 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 $100.00 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 no reserve a space in Campus Corner 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 further authorizes free exchange of information between Campus Corner Apartments, Capstone Management, and Green River Community College, 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 and/or continued residency shall be approved or disapproved.

Applicant understands that a financially responsible Guarantor over the age of 21 is required for the completion of the application process, and that failure or refusal to provide a Guarantor may result in the cancellation of this application and any resultant Housing License 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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