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Apartment Application

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					                                                 Adrian College
                                              Apartment Application
                                                          Fall 2007
In order to be eligible to live in Adrian College apartments, all residents must be full time students and classified as
sophomores, juniors, seniors as of fall 2007. All residents must register for at least 12 hours for the fall 2007 semester. List
all four students requesting this apartment. An alternate apartment mate is required to be considered.
□ Check this box if you are a current apartment resident requesting your current apartment for fall 07 (squatter’s rights).
Primary Contact Name______________________________ID#_________ Birth date___/___/____Class _____ Age___
Cell Phone or ext. _________________________ E-mail address______________________________                         Box ________
Current Room/Address ______________________________________________________________________________
 nd
2 Name ________________________________ ID#_________ Birth date ____/___/_____ Class __________ Age____
Cell Phone or ext. _________________________ E-mail address______________________________                         Box ________
Current Room/Address ______________________________________________________________________________
 rd
3 Name ________________________________ ID#_________ Birth date ____/___/_____ Class __________ Age____
Cell Phone or ext. _________________________ E-mail address______________________________                         Box ________
Current Room/Address ______________________________________________________________________________
 th
4 Name ________________________________ ID#_________ Birth date ____/___/_____ Class __________ Age____
Cell Phone or ext. _________________________ E-mail address______________________________                         Box ________
Current Room/Address ______________________________________________________________________________

Alternate Name ______________________________ ID#_________ Birth date ____/___/_____ Class ______ Age____
Cell Phone or ext. _________________________ E-mail address______________________________                         Box ________
Current Room/Address ______________________________________________________________________________
By signing this form I acknowledge that I am responsible for filling the apartment with four residents or, if there
is no waiting list, for paying the additional cost of the empty room(s) divided among the remaining apartment
residents. I understand that if there is a waiting list for the apartments and there is a vacant room in my
apartment, the College may move me into a standard residence hall room.
      Signature ___________________________________                  Date ____________
      Signature ___________________________________                  Date ____________
      Signature ___________________________________                  Date ____________
      Signature ___________________________________                  Date ____________
By signing this form I agree to move into an apartment with the above named students if there is a vacant room.
      Alternate’s Signature     ___________________________________                Date ____________
Apartment applications are due in 223 Caine by 5:00 PM on Friday, March 9. Students assigned to apartment
housing must pay their $100 Advance Housing Payment to the Cashier’s Office and drop off their Room and Board
Agreement in 223 Caine by 5 PM on Tuesday, March 20, to finalize their assignment.
Apartment assignment priority will be based on total earned credits at the end of the Fall 06 semester for all four residents
(does not include alternate). Students currently living in the apartments have squatter’s rights. If selected, the primary
contact listed above will be notified by Wednesday, March 14. Lists will also be posted outside 223 Caine. Assignment to
actual apartments and rooms will take place in Caine Student Center on Thursday, March 15 at 6 PM. If you are unable
to attend, please send someone to represent you. If no one is there to represent you, apartments will be assigned by the
Residence Life Office.                                                         Assignment Priority Points ___________
                                                                                 Apartment Assigned: _______________

				
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