Apartment Application Form for University of Rochester Graduate and Family Housing

Gender *
Marital Status *


CURRENT MAILING ADDRESS
CITIZENSHIP INFORMATION - HOME ADDRESS
* If Postdoctoral, Prof. Trainee, or Fellow selected, provide Title and Appointment.


List the names of family members or the roommate who will live with you in University Housing
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Gender
Children's Names, Ages & gender
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Gender
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Gender
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Gender


Indicate all preferences by selecting all the interested
CODE KEY: BH = Bath(s); F = Furnished; UF = Unfurnished; GHS = Goler House; UPK = University Park; WPK = Whipple Park
S = Single Occupancy
SR = Single with Identified Roommate
C = Couples
FA = Family (1-2 Children)
FB = Family (3-4 children or 2 children of opposite gender, one or both over 8 years old)
Interested in any available housing
Did you read and understand responsibility for policies? *
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