Staythrough 2015 - UBC Student Housing and Hospitality Services

Staythrough 2015
Application Deadline April 1, 2015
FOR OFFICE USE ONLY
Received on:
A minimum 15 night stay/charge will apply
Last or family name
Given or first name
My UBC student number is:
Assignment
Preferred first name called if different from above
Data entered
Present room assignment
Priority Assignment
Home telephone
Alternative telephone
Please attach supporting documentation and indicate if
you:
Have a disability. Identify the nature of your disability
Email (Residence offer or related correspondence will be sent here.)
and the special accommodation required. Please
INFORMATION RELEASE I request information release as detailed on the Student Housing and
Hospitality Services website www.housing.ubc.ca/apply-info/application-forms/206.
Yes
No
attach/forward a medical certificate (doctor's letter,
etc.) to confirm. Regardless of your disability, you
must be living independently.
I am:
Female
Male
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 staying less than 30 days will be assigned rooms in Similkameen residence and are
required to move to their new room on April 30.
•
Summer students staying more than 30 days will be assigned residence in Lower Cascades
and are required to move to their new room on May 4.
•
All 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 no later than August 22, 2015.
A minimum 15 night stay/charge will apply
I will require accommodation from April 30, 2015 until: End–
Day / Month / Year
Roommate Preference
If you want to live with specific roommates, you must staple your applications together, or if submitting
by email, you must include all application forms as attachments in the same email message. 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
Messy from time to time
Tidy
Tidy is not very important to me
In submitting this application I certify that I have read and agree to the application, assignment and
refund policies as outlined on our website at www.housing.ubc.ca/residence-contracts-okan, 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
accommodation is to be vacated immediately. I understand that application does not
guarantee assignment.
Return completed application to:
Via mail:
UBC Okanagan
Student Housing & Hospitality
Services 1290 International Mews
Kelowna, BC Canada V1V 1V8
Via fax: 250-807-9157
Signature
Date