New Resident Apply

Name *

First

Last

Permanent Address *

Address Line 1

City

State

Zip Code

Email *

Alternate Email

Phone *

Alternate Phone

I identify my gender as . . . *

Birth Date *//

School Attending *

You must be a current university student to apply to the MLC.

Year in School

Major / Minor

To the best of your ability, and as you are comfortable, please tell us how you identify religiously/spiritually. (Please check all that apply.)

Muslim
Jewish
Protestant Christian
Catholic
Hindu
Buddhist
Sikh
Unitarian Universalist
Spiritual
Agnostic
Non-religious/Atheist
Not sure/prefer not to disclose
Other (please explain)

Other (please explain)

As an equal opportunity housing provider, CA House does not discriminate on the basis of religion, creed, or any other classification protected by applicable federal, state or local law.

How did you hear about CA House? (Please check all that apply.)

Facebook
Craigslist
Community Housing Listing
SISS Bulletin
ASUCD Housing Fair
Friend/Word of mouth
Current or Previous Resident
Other (please explain below)

How did you hear about CA House?

Gender preference of household: *

Type of room applying for: *

Choose "accessible" if you require a room on the first floor for wheelchair or other assisted access.

Name of person with whom you would like to share a room: *

First

Last

They must fill out their own application.

Do you have any specific dietary practices or restrictions? *

Please describe:

Are you applying for a parking space?

Are you applying for Financial Assistance?

Please check all you wish to apply for:

Income Qualified Rent
Reduced Rent
MLC General Scholarship
Stoneking Scholarship
Student Leader Scholarship

You can find detailed information about our Financial Assistance offerings here.

Please submit your complete FAFSA Student Aid Report (SAR):

** Please note that students who do not submit a FAFSA automatically opt out of certain types of Financial Assistance.

FAFSA Upload *

Please familiarize yourself with the CA House Multifaith Living Community Agreement and Community Life Positions before answering the following questions. Please type one paragraph responses to each of the questions below:

1. Why do you want to become a member of the CA House Multifaith Living Community? What appeals or speaks to you in the CA House Multifaith Living Community mission?

1. Why do you want to become a member of the MLC

2. What do you expect to receive from this community? After reviewing the CA House Community Life Positions, what position appeals most to you, and how do you feel that you can contribute to this community?

2. What do you expect to receive from the community?

3. At some point in our lives, each of us encounters questions related to our personal faith and/or spiritual identity. While we recognize that it can be difficult to express our spiritual identity to others, please tell us something about your own spiritual perspective and personal beliefs that you are comfortable sharing. How does your spiritual perspective influence the rest of your life, such as friendships, family, academic pursuits, community involvement, vocational goals, etc.?

3. Please describe your spiritual perspective and beliefs . . .

As an equal opportunity housing provider, CA House does not discriminate on the basis of religion, creed, or any other classification protected by applicable federal, state or local law.

4. What justice issue confronting the world today do you care most about and what do you feel an ethical response to it might be?

4. What justice issue do you care most about?

Please enter three references. References should not be relatives, but may include community leaders, work supervisors, faith leaders, friends, etc... References from former landlords are strongly encouraged. Please list three references with their name, phone number, email, and relationship to you:

Reference 1

Reference 2

Reference 3

New Resident Application 2019-20