Non-dormitory Housing Application

Application For Non-Dormitory Campus Housing

Please Note: The assignment of units for new housing applicants will follow the priortization found in the Burman Non-Dormitory Housing Policy outlined at Non-Dorm Campus Accomodations

Anticipated Move-In Date

School Start Date

Type of Residence

1 bedroom apartment2 bedroom apartment3 bedroom apartment4 bedroom apartment

Type of Residence

The assignment of units for new housing applicants follow the prioritization policy indicated on the website. Applicants are not guaranteed housing accomodations. Availability varies each year.

Qualification status for non-dorm housing - Must be the applicant or a family member residing in the home.

Please Tell Us About Yourself

First Name*

Last Name*

Date of Birth*

Email Address*

Phone Number

Cell Phone Number*

Mailing Address

City

Province

Postal Code

Citizenship

Marital Status

Social Insurance Number (May be used for credit check)

Spouse's Name

Number of Children

Name of Child 1

Age

Name of Child 2

Age

Name of Child 3

Age

Make & Model of Car #1

eg. Toyota Corolla 2011

Colour

License Plate

Make & Model of Car #2

Colour

License Plate

Please Give Residential History

How long have you been at your present residence?

Own or Lease?

Current Landlord

Address

Phone Number

Rent Amount $

Emergency Contact Information

Name

Phone Number

Address

Relationship

Status

Full-Time StudentSpouse/Parent of StudentEmployee

NOTE

*There is NO GUARANTEE that preferences will be met but every effort will be made.

*Assignments of accommodations will be coincide with family size and unit size.

*The Residential Tenancy Agreement must be signed prior to moving into Burman residences.

*The security deposit will not exceed one month's rent.

*When a suitable match has been made a $250 non-refundable deposit is required to hold the unit.

An overview of Rules and Regulations contained in the Residential Tenancy Agreement

Student housing at Burman University is maintained for the sole purpose of providing students with reasonable housing while attending a regular academic program at Burman. Students and families of students who terminate their academic program or drop their credits below full-time status during the current academic school term may also have their rental agreement terminated.

-No Pets Permitted-

-No Smoking on Property-

Check Boxes To Accept Conditions

1. I agree, if accepted for housing, to abide by the rules and regulations of the Burman University Tenancy Residential Agreement.2. I certify that the particulars furnished are true and complete in all respects and that no relevant information has been withheld.3. I authorize the Landlord to conduct a reference check regarding my rental history and credit check.4. I understand that if I withdraw my application after a unit is reserved for me, a processing fee of $250.00 will be withheld from the security deposit.

Date

Signature