Application

Application To Rent

First Name: *

Last Name: *

Move In Date Required: *

Social Insurance Number: *

Drivers Licence Number or other Government Issued ID: *

Province/State of Issue of DL or other Government Issued ID:

Birth Date: *

Gender: *

Male

Female

Cell Phone Number: *

Email: *

Current Residence

Street Address: *

Suite/Apt:

Province / State: *

Postal Code / Zip Code: *

Landlord Name: *

Landlord Telephone Number: *

Education/Enrollment

Institution you will be Attending: *

This will be my _____ Year ( 1st, 2nd, 3rd, etc ): *

Course of Study: *

Student ID Number: *

Employment History – Most Recent

Employer Name: *

Employer Work Telephone: *

Type of Business: *

Position: *

Date Started: *

Date Finished: *

Guarantors

Will a Parent, Guardian or Other Individual be Paying your Rent? *

Yes

No

If Yes, please provide their name, email address and telephone number:

References

Please provide 2 references – They should not be related to you

Reference 1 Name: *

Reference 1 Telephone: *

Reference 1 Relationship to you: *

Reference 2 Name: *

Reference 2 Telephone: *

Reference 2 Relationship to you: *

Will You Require parking?: *

Yes

No

If Yes, Please provide your vehicle Make, Model and Licence Plate Number:

Room Mates Match

Please list the name (s) of other students that are applying to live at Rosedale, whom you would like to be matched with in the same suite. NOTE: These students will also need to list your name on their application in order for us to match you together.

Residence Advisors

If you have previously been trained, and served as an RA in on Campus Housing, and you wish to apply for an RA position in Rosedale, please fill this in, noting the Institution you received your RA training at, and years served as an RA. Students serving in the position of RA at the Rosedale will receive a substantial reduction in their monthly rent.

Preferences

This section is optional for you to complete. However, the more information we have about your lifestyle preferences, the better we will be able to properly match you with the other room mates you will be sharing your suite with.

1 means it’s not important at all to you.
2 means it might be a consideration to you
3 means this is a consideration for you
4 means this is quite important to you
5 means this is very important to you

Please provide the name and contact details of someone we can call in the event of an emergency:

Please provide any other comments you feel would help us in providing you with the best living experience, including any other lifestyle preferences, mobility or dietary issues, etc. While we accept floorplan requests, we can not guarantee that you will be assigned to a suite with the specific floor plan you ask for.

Please provide us with your preferred method of payment. We will offer:

How did you hear about the Rosedale Residence?

Your Name: *

Date: *

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