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
Sex
Male   Female
E-mail Address:
School E-mail
Personal E-mail
Choose the email address you prefer to receive information and will use as your Resident Portal log-in for The Summit:
School Personal
School Information

Expected Move In
Status
Expected Graduation Date
School Attending
Expected Major
Emergency Contact Information
This person will be contacted in the event you are believed to be missing.
First MI Last
Home Phone
Cell Phone
Work Phone
E-mail
same as Permanent Home Addres
Street
Street2/Apt
City
State Zip
Rank Order Room Preferences
Rank only those unit types which you will accept.  Spaces are assigned first-come, first-served.  You will not be assigned and/or offered a license if you are determined ineligible for housing by Queens College and/or the spaces you rank are already assigned.:

1st Choice   

2nd Choice 

3rd Choice   
Roommate Information
Please list preferred roommates (max of three):
First Last Email Phone
If possible, I would like to be assigned to a room in proximity to: Graduate students Honors students Freshmen students

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: The Summit 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: The Summit is an alcohol-free community.
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
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 beds in the applicant's assigned apartment.  The Summit reserves the right to assign roommates without prior notice and/or relocate the applicant (named above) to another unit.  Applicant further understands that roommate compatibility is not guaranteed and that roommate conflicts are not acceptable reasons to terminate a license.  Applicant represents that all of the above information is true and complete and authorizes the verification of same by reasonable means.  Any misrepresentation or omission may be cause for the rejection of this application and/or the termination of the Housing License Agreement.  Applicant further authorizes free exchange of information between Queens College of the City University of New York and The Summit staff, 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 shall be approved or disapproved.  Applicant understands and agrees that a reservation payment in the amount of $400.00 must accompany the Housing Application, and failure or refusal to promptly provide this payment may result in the cancellation of this application and any resultant Housing License Agreement.  Applicant agrees that the reservation payment will be applied to the first semester payment of the Housing License Agreement.  The acceptance of a reservation payment does not constitute a guarantee of admission to Queens College or a guarantee of a housing assignment.

All applicants have forty-eight (48) hours from submission of the Housing License Agreement to request cancelation and be entitled to a full refund of the $400 reservation payment.  Reservation Fee payment ($400) is also refundable if applicant applies and fails to be assigned a space in The Summit, admitted to Queens College or the CUNY institution within commutable proximity (as determined by The Summit).  Applicant will allow several weeks for any refunds to be processed.  After the initial 48 hours, the $400 reservation payment will be forfeited to The Summit by any eligible applicant (eligibility defined as admitted by Queens College and/or a CUNY institution within commutable proximity (as determined by The Summit)) who either fails or refuses to enter into a Housing License agreement, even if the applicant does not attend the aforementioned CUNY institution.  Housing License Cancelation prior to occupancy (occupancy defined as resident receipt of a key) will be accepted subject to charges as follows, provided written notification is received in The Summit Office prior to July 1st.  Cancelations prior to occupancy and received on or before July 1st will result in forfeiture of the $400 reservation payment plus the assessment of $1,000 cancelation fee.  Cancelation prior to occupancy after July 1st will result in full Housing payment due and payable as stated in the License Agreement.  Once an assigned and licensed resident accepts a key for an assigned space in The Summit, all payments are due per the payment schedule as stated in the Housing License(s), regardless of cancellation.

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 License Agreement, especially those areas regarding earnest monies.

APPLICANT SIGNATURE: 


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