APARTMENT APPLICATION

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					                                                                                                                      Housing and Food Services

FACULTY / STAFF                                                                                                                     Palmer Center
                                                                                                                          1005 West Laurel Street
                                                                                                                     Fort Collins, CO 80523-8032
APARTMENT APPLICATION                                                                                                      Office (970) 491-4743
                                                                                                                             FAX (970) 491-4762
NAME                                                                     CSUID
                   LAST                                  FIRST
ADDRESS                                                                  BIRTHDATE
CITY                                                                     COUNTRY OF ORIGIN
STATE                                         ZIP                        HOME PHONE
COUNTRY                                                                  DEPARTMENT
E-MAIL                                                                   JOB CLASS        POST DOC          VISITING SCHOLAR
   MALE                 SINGLE                                                           STATE CLASS            ADMIN PRO
  FEMALE               MARRIED/COMMITTED PARTNER

Please visit the Apartment Life web site @ www.Housing.colostate.edu/apartments for eligibility and instructions.
Complete and sign this Apartment Application and return it with your Apartment Housing deposit of $140.00 to the University
Cashier. A cashier’s envelope is provided in this packet. Payment may be made by credit card or a check made payable to
Colorado State University Cashier. If paying by credit card, complete the credit card information below.
Mark your preferences in numerical order (1 is top priority, then 2, 3, etc.).
              FAMILY APARTMENTS                                                  SINGLE STUDENT APARTMENTS
    2BR Aggie Village ..............................................         1BR Alone, Lory Apartments ……..….…...…...
    2BR University Village - 1500 W Plum .............                       2BR Shared, Lory Apartments ............................
    2BR University Village - 1600 W Plum .............                       1BR Alone, International House .........................
    2BR University Village - 1700 W Plum ............                        2BR Shared, International House ........................
    3BR University Village - 1600 W Plum .............
    3BR University Village - 1700 W Plum .............                           Furnished                    Unfurnished
                                                                                 Smoker                       Non-Smoker
       Furnished             Unfurnished
       Married               Single Parent                                       I will need wheelchair accessibility
    Spouse’s name
    Number of children
       Family members will accompany applicant
       All family members are non-smokers
       One or more family members smoke
       I will need wheelchair accessibility

  I wish to move into an apartment on:                           Month        Day                             Year

  I understand that completing an application and making a deposit do not guarantee housing. Priority for assignments is given
  to students; assignments to faculty, staff, and postdoctoral applicants will be made on space available only. I agree to keep
  the Office of Housing and Food Services informed of any changes of address and telephone number. Failure to do so could
  result in the loss of my housing deposit.

  Signature                                                                         Date
  MAIL-IN PAYMENT BY DISCOVER, MASTERCARD OR VISA
  To pay by Discover, MasterCard or VISA, complete the following information. Missing data may result in non-processing of
  payment.
      Discover         MasterCard            VISA            Card Number
  Expiration Date                                  Signature
  Amount Paid $                                    Daytime phone - required for processing