Staythrough 2015 - UBC Student Housing and Hospitality Services

Staythrough 2015
FOR OFFICE USE ONLY
Application Deadline April 1, 2015
Received on:
Student Housing and Hospitality Services
Application for on-campus staythrough residence in Lower Cascades for current UBC
residents.
Last or family name
Given or first name
My UBC student number is:
Assignment
Data entered
Preferred first name called if different from above
Priority Assignment
Present room assignment
Please attach supporting documentation and indicate
if you:
Home telephone
Alternative telephone
 Have a disability. Identify the nature of your disability
and the special accommodation required. Please
attach/forward a medical certificate (doctor's letter,
Email (Residence offer or related correspondence will be sent here.)
etc.) to confirm. Regardless of your disability, you
INFORMATION RELEASE I request information release as detailed on the Student Housing and
Hospitality Service website
YesNo
http://www.housing.ubc.ca/before-moving-in-okan/before-leaving-home-okan/210
I am:
Female
Male
must be living independently. 
My birthdate is:
Day / Month / Year
Student Status
(Documents required with application)
Summer student
Practicum, from
Late finish
Day / Month / Year
Grad student
to
Other
Day / Month / Year
Students will be required to move to their summer room assignment between May 4-5, 2015.
Students who will be moving to a residence managed by Student Housing and Hospitality Services in
September 2015 are required to relocate between August 22–24. Dates will be confirmed early August.
Students not moving to a residence managed by Student Housing and Hospitality Services in September 2015
are required to vacate not later than August 22, 2015.
I will require accommodation from April 30, 2013 until: End–
Day / Month / Year
Roommate Preference
If you want to live with specific roommates, you must staple your applications together.. We will use
the following information to assign you with a roommate(s) who report similar lifestyle choices, but this
is dependent on the space available and we cannot guarantee this will occur.
Alcohol Use
 I don’t drink alcohol and prefer to live with non-drinkers.
Select the one option from each of these categories that best describes you and your habits:
Sleep Habits
 I am an Early Bird, I usually get up early in the morning

 I am a Night Owl, I usually go to bed late at night 

Living Space 
I keep my living space:



Very tidy 
Tidy 
Messy from time to time
Tidy is not very important to me

In submitting this application I certify that I have read and agree to the application, assignment,
charges and refund policies as outlined on our website at
http://okanagan.housing.ubc.ca/applications/residence-contracts/, and declare that the information
reported on this form is true, correct and complete.
I understand that if I am assigned accommodation based on incorrect information, or if my
circumstances change, the contract may be terminated by the University and the

Return completed application to:
Via mail:
UBC Okanagan
Student Housing & Hospitality
Services 1290 International Mews
Kelowna, BC Canada V1V 1V8
accommodation is to be vacated immediately. I understand that application does not
guarantee assignment.
Via fax: 250-807-9157
Via email: [email protected]
Signature
Date