Personal Information

First Name *

Last Name *

Email *

Date of Birth *

Application Number

Self-Identify *
—Please choose an option—MaleFemaleOther

Contact Phone Number *

Education

Home University/ College/ Institution

Current Year of Study
—Please choose an option—1st YearUpper YearGrad SchoolNot Applicable

School to Attend for Duration of stay *

Study Program *

Will you be Domestic/ International- Exchange student?
—Please choose an option—Domestic UndergradDomestic GradInternational UndergradInternational GradNot Applicable

Housing

I'm applying to: *
—Please choose an option—Meal PlanNon-Meal PlanEither

Indicate your requested time of lease: *
—Please choose an option—September - AprilSeptember - DecemberJanuary - AprilPartial SummerFull Summer

If you have an intent of sharing a house or a room with someone, Please specify name? (They must also submit an application)

Room/ House Preference

Please select a desired Room size
—Please choose an option—XL/ JumboLargeMediumRegularSmallExtra SmallAny

Which type of house you prefer
—Please choose an option—Party houseQuiet houseDoesn't Matter

Coop Duties and Responsibility

Did you know that you must complete three Ops Hours (required volunteer hours) per semester to maintain the general operations of the co-operative? By selecting Yes, you agree to this commitment*
YesNo

Reference

We accept references from Existing or previous Coop members, Landlords, employers etc.

Reference Name *

Reference Email *

Relationship to Reference *

Reference Phone-Number *

If you were referred to KSHC by a Co-op member, please provide their name

Additional Information

This section is optional. The information you provide helps us better understand your needs and create a safe, comfortable living environment. It is confidential and will not be used as part of the eligibility criteria.

How would you describe your general personality? (Select multiple)
FriendlyQuietSociableCalmIndependentCommunity-orientedRespectfulResponsibleEasygoingOrganizedPrivateAdventurous

How would you describe your cleanliness style?
—Please choose an option—Very clean & tidy (daily upkeep)Generally clean (weekly upkeep)Moderately tidy (as needed)More relaxed about messNeed reminders sometimes

What’s your attitude toward housemate gatherings or social activities?
—Please choose an option—Prefer quiet home, no gatheringsComfortable with small gatheringsComfortable with moderate social eventsOpen to lively gatheringsDepends on notice and agreement