Residence International Registration Thank you for your interest in the Cambrian College Residence. Please complete the questionnaire below to apply for residence. Please note this application is only for First Year First Semester International Students. If you are not a first year first semester international student please go to http://cambrianinternational.ca/residence/apply and select the correct option. You will receive a confirmation from firstname.lastname@example.org – please ensure your email is set to allow emails from this address, as some spam filters may prevent you from receiving this confirmation. THIS IS A REQUEST FOR HOUSING - NOT A GUARANTEE. ALL STUDENTS WILL BE CONTACTED VIA THE EMAIL PROVIDED ON THIS FORM REGARDING ACCEPTANCE/WAITLIST STATUS Housing Request Are you an international student? * Required Yes - Please complete this form *If you are not an international student, please do not complete this form. Please complete the domestic student application, which is available at https://www.cambrianinternational.ca/residence/applyHave you ever lived at the Cambrian College Residence Before? * Required Yes, I have lived at the Cambrian College Residence before No, I am applying to be a first-time residence student at Cambrian College *If you are not a first year first semester international student, please do not complete this form. Please complete the student application, which is available at https://www.cambrianinternational.ca/residence/applyPlease choose your study period * Required[Please Choose]Winter 2020 (JAN 2020 – APRIL 2020)Summer 2020 (MAY 2020 – AUGUST 2020)Academic Year (SEPT 2020 – APRIL 2021)Fall 2020 (SEPT 2020 – DEC 2020)Winter 2021 (JAN 2021 – APRIL 2021)*Please Note – residence requires a minimum of a 4-month commitment (beginning on the 1st of the calendar month and/or the advertised move in date for the term selected) by all students. By completing this form, you agree that you will remain in residence and pay your residence fees, for a minimum of 4 months.Requested Arrival Date: - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Requested Departure Date: - must be mm/dd/yyyy format * Required MM slash DD slash YYYY *Please Note – this is a request and not a guarantee. The residence will confirm with you if they are available to accommodate your requested dates or not. If your requested dates change, please contact the residence at email@example.com immediately. Early move-in and late move-outs will be subject to additional fees. Early move-in is extremely limited, and you may be required to stay at a hotel if the residence is not able to accommodate your requested dates. Note that hotel arrangements will not be made for you by the residence.Please select the type of housing that you prefer: * Required International student housing, at the reduced international rate – 1 bedroom in a 6 bedroom townhouse unit with a single bed Non-Bursary student housing at the full student rate. 1 bedroom in a 2 bedroom unit with a double bed (The residence fees are due immediately with your acceptance) I already live in residence, and wish to extend my stay. If you already live in residence and wish to extend your stay, do not complete this form. Please complete an application on the housing portal at www.cambrianinternational.ca/residence/applynow Personal Information First Name: * Required Last Name: * Required Address: * Required Address (Line 2): City: * Required State / Province / Region: * Required Postal / Zip Code: * Required Home Phone:Cell Phone:Email: * Required Date of Birth: - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Gender: * Required Male Female Student Number (if available): Program of Study: * Required Do you have any accommodation requests? * Required Yes No This includes anything that the residence should be aware of, such as a disability, an illness, or a dietary or religious preference?:If yes, please provide detail: Confidentiality Information The collection of information in this form complies with the Freedom of Information and Protection of Privacy Act. The primary purpose of this collection of information is the processing of residential accommodation application and payments or other contractual obligations resulting from this application. The information may also be used for statistical reports from the College or from the departments and agencies of the Government of Ontario and the Government of Canada. Questions regarding the collection of information may be directed to the administration of the residence at firstname.lastname@example.org. I hereby authorize the Cambrian College Residence to confirm my student status, with regard to college registration status and school fees. I authorize the residence to disclose my name and e-mail address to persons to whom the same dwelling is assigned (roommates).Agreement * Required I have read and accept the terms and conditions above regarding confidentiality. Confidentiality signature: * Required please type your first and last name Security Deposit & International Residence Fees Information Residence and deposit fees can be paid at the front desk of the residence by certified cheque, cash or debit or via Flywire to Cambrian College. If Paying via flywire please make a note on the payment that it is to be directed to the residence. SECURITY DEPOSIT - All students are required to pay a security deposit of $500.00 with their application, in addition to their residence fees. This security deposit will remain on your account throughout your stay at the residence. Once you have moved out of the residence, this deposit will be returned to you via cheque to the address provided on this form, less any charges applied to your account for damages to the room/cleaning charges should your room not be left clean. Your home address can be changed at any time at the residence front desk, or by emailing email@example.com RESIDENCE FEES - The below information reflects the pricing and payment structure for international students. Accepted international students will be assigned a room by residence management in either a 6 or 2 bedroom townhouse or 2 bedroom dorm. Please note that the residence reserves the right to relocate students with 24-hours’ notice at any time throughout a students’ stay. OPTION 1 - Security Deposit ($500) - due before Move-In - 1 Months of Residence Fees - due before Move-In *Residence Fees for any additional months approved for housing will be due by the 15th of the prior month OPTION 2 - Security Deposit ($500) - due before Move-In - 4 Months of Residence Fees ($1700) - due before Move-In Students will not be provided housing before payment is made. A late fee of $50.00 will be applied for all payments that are not received by their due dates. Agreement * Required I have read and accept the terms and conditions above regarding the international residence fees. International Cancellation Policy If you wish to cancel your request you must notify the manager of the residence in writing, by emailing firstname.lastname@example.org Please note that the residence operates independently of the college and if you cancel your college registration you must also cancel your application with the residence. By completing this form, you are bound by the following cancellation policy: - Cancelations before the first day of the term will be subject to the forfeit of the $500.00 security deposit. - Students who have registered and moved into residence are required to remain in residence for a minimum of one (1) entire college semester (September-December, January-April, or May-August). Students leaving before the end of the registered semester are required to pay all fees associated with that semester in full before their departure from the residence. - Students who register for an additional semester(s) while living in residence are required to remain in residence for the entirety of the additional semester(s) in which they have registered for, and are required to pay all fees associated with the additional semester(s) before departure. For questions related to the cancellation policy, please contact email@example.com Agreement * Required I have read and accept the terms and conditions above regarding the international cancellation policy.