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Green River Student Housing Application
All information with a red label is required.
Applicant Information
First

Last
Preferred Name:
International Student
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Gender*:
 
*This information is gathered only for the purposes of room assignments for students interested in non gender inclusive housing.
SSN
E-mail Address:
Green River Email is preferred when possible.
Have you ever been convicted of a felony?
Permanent Home Address
Street
State
Emergency Contact Information


Relationship to Student       
State
Housing Term Information
Desired Quarter for Move In:        
Length of Housing Term       
*Academic Year is only available in Fall and Winter Quarter
Status when enrolling: 
Please Indicate if you are a GRC Athletic Team Member:
Gender Inclusive Housing:

GRC Student Housing provides Gender Inclusive Housing on a case-by-case basis. This option allows for an experience to live with residents of all genders. If you are interested in this option, please let us know below and a staff member will contact you as part of your application process.

Roommate Information
Please list preferred roommates (max of three):
Guarantor Information
A guarantor must be a person over the age of 21 who agrees to be responsible if you are ever unable to fulfill the financial obligations of your housing agreement. Please provide the information below for the person expected to serve as your guarantor. Email entered below must be that of your guarantor and not the student applicant.


State
Students are required to have a Guarantor (U.S. Residents) or I-20 form on file (International Students.) Guarantors will be required to complete a Guarantor Agreement. I-20 forms will be verified by management for International Students prior to move in.
If possible, I would like to be assigned to:

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:


Note: Campus Corner Apartments is a smoke-free community; smoking is limited to designated outdoor areas.
Alcohol:



Note: Campus Corner Apartments follows state alcohol laws; no resident and/or guests under the age of 21 are allowed to consume alcohol.

Studying:
Where I Study How Much I Study When I Study

Other people consider me to be:
Immaculately Clean [1]
Very Messy [5]
Extremely Quiet [1]
Really Outgoing [5]    
Morning Person [1]
Night Person [5]

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 not reserve a space in Campus Corner Apartments.

Applicant understands that eligibility for housing at Campus Corner Apartments includes active status as a Green River College student with a minimum of 10 credit hours per quarter to maintain residency eligibility.

I, the Undersigned Applicant, read and agree to all provisions of this housing application. I read and fully understand the terms and conditions set forth in this application. 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 a future Housing Agreement.

Applicant further authorizes free exchange of information between Campus Corner Apartments, COCM, and Green River 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.






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