Application for Campus Housing

The resident community is based upon principles of self-discipline and mutual accountability. Those who enter residence will be challenged to exhibit concern for others and to call one another to higher standards of integrity. All who would commit themselves to our Community Responsibilities are welcome.

*All residents are required to complete 3 hours/week of on campus work assignments.

First Name *

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Last Name *

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Phone *

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Email *

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Mailing Address *

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City *

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Province/State *

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Postal/Zip Code *

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Country *

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Month of Birth *

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Day of Birth *

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Year of Birth *

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Enrolled Program *










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Starting Semester *

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Type of Housing Requested *



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What time do you normally go to bed? *



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Do you like ot sit up late and socialize? *

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What level of privacy do you need? *




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How important is cleanliness to you? *




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Interests & Hobbies *

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Gender

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What contribution do you feel that you could make to enhance the well-being of the other students in residence? *

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In order to reserve your dormitory room, a $150.00 reservation/damage deposit fee is required ($100 of this deposit is refundable at check-out [if room is left in good condition, keys, and passes are returned]).
Once this form is complete you can proceed to pay your deposit online with Visa/MC. If you would like to pay by cheque, please mail it to the PLBC office.

Comments

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If I am accepted into campus housing I agree to abide by all the resident policies and support and submit to the resident leaders.


Final confirmation is given when deposit has been paid and the application for admission process has been completed and approved.


  

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