Common Contracts
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CBU GRADUATE HOUSING CONTRACTHousing Contract • September 10th, 2013
PERSONAL INFORMATION⬜ MALE ⬜ FEMALE Preferred Name Last Name First Middle Street Address _______________________________________________________________________________ City State Zip County of Residence IncludesTelephone ( ) Basic Cable, WiFi,Email CBU ID # All UtilitiesReligious Preference $560/mo.EMERGENCY CONTACTName Street Address City State Zip Telephone ( ) I REQUEST HOUSING FOR: (fill in year) ⬜ Fall ⬜ Spring ⬜ Summer ⬜ All MY STATUS IS: ⬜ Physician Assistant Student ⬜ Full-time Graduate Student (9+ hours)CREDIT HOURS COMPLETED: RESIDENCE PREFERENCEPrices shown are per semester. Meal plans are available at additional cost.⬜ Avery Single Bedroom w/Apartment-mate ($2,800/Semester; $560 Month) ⬜ Avery Single Apartment ($4,400/Semester; $880/Month)⬜ Summer Rate ($1,120) ⬜ I would like the opportunity to room with an international student.Do you have any physical disabilities or conditions warranting special consideration in making your room assignment? ⬜ Yes ⬜ NoIf yes, a stateme
