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Madison Housing Application
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26
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1
Name
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First Name
Last Name
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2
I am a:
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Male
Female
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3
Current/Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Email
*
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example@example.com
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5
Phone Number
Area Code
Phone Number
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6
School
*
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UW Madison
Edgewood
MATC
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7
Class Entering
*
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Please Select
1st Year (Freshman)
2nd Year (Sophomore)
3rd Year (Junior)
4th Year (Senior)
5th year +
Graduate School
Please Select
Please Select
1st Year (Freshman)
2nd Year (Sophomore)
3rd Year (Junior)
4th Year (Senior)
5th year +
Graduate School
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8
Desired Lease Type
*
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Single Room (1 year August 15th 2025 - August 14th 2026)
Double Room (1 year August 15th 2025 - August 14th 2026)
Single Room Tiny Room (1 year August 15th 2025 - August 14th 2026)
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9
I understand a security deposit of $670 is due upon signing the lease. You will receive your security deposit back at the end of your lease pending there are no charges that you are left responsible.
*
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YES
NO
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10
I understand I am required to pay my rent on time by the first of every month. I also understand there will be a $150 late fee assessed when payment is missed or late.
*
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YES
NO
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11
How did you hear about Campus Collective Housing?
*
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Church
Friend
Google
Social Media
Campus Area Housing Site
Online Listing
Othe
Church
Friend
Google
Social Media
Campus Area Housing Site
Online Listing
Othe
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12
Why would you like to live at Campus Collective?
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13
What do you expect of the other residents while living here?
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14
What area of your life would you like to grow in while living at the campus house?
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15
I understand Campus Collective is a Christian Faith Based ministry who will host faith based actives in the common spaces of the house.
*
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YES
NO
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16
Campus Collective Christian Ministries assumes no liability or responsibility for the personal property of the residents. Residents are advised to purchase renter’s insurance. Personal property stored outside the tenant’s room must be labeled and stored in an approved location. Property left after the termination of the lease will be disposed of and the costs incurred will be deducted from the tenant’s security deposit. Do you agree to this?
*
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YES
NO
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17
Since the house is used for ministry and common areas are shared among the tenants it is the responsibility of each tenant to complete specific cleaning responsibilities on time. Do you agree to do your part in making the house an attractive living residence?
*
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YES
NO
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18
No pets are allowed at any time. Do you understand and agree to this?
*
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YES
NO
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19
Tenants are responsible for any damage done to Campus Collective property or furnishings. All maintenance problems should be directed to the House Manager. Absolutely no painting or remodeling is to be done without permission of the campus minister or landlord. Do you understand and agree?
*
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YES
NO
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20
Overnight guest are allowed, you must first notify the Housing Manager. Do you understand and agree?
*
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YES
NO
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21
The use of tobacco in any form, alcoholic drinks, and illegal drugs are not allowed on the Campus House property. Guests of tenant’s are the responsibility of the tenant and must conduct themselves according to the code of conduct described here. Violation of these rules may result in the dismissal of the tenant forfeiting the tenant’s security deposit Do you understand and agree to this?
*
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YES
NO
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22
Excessive public drunkenness, the use of illegal drugs, or major illegal offenses may result in the dismissal of the tenant forfeiting the tenant’s security deposit Do you understand and agree to this?
*
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YES
NO
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23
I understand acts of co-habitation are not permissible on the property.
*
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YES
NO
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24
The Campus House is owned and operated by Campus Collective Christian Ministries. Their purpose and policies are enacted to provide college students an opportunity for spiritual growth within the context of a Christian community. Are you comfortable with this purpose and do you agree to abide by all Campus Collective Christian Ministries' policies?
*
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YES
NO
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25
I, have read, understood, agreed with, and provided accurate and truthful information in this application:
*
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Clear
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26
Please Provide Today's Date
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Date
Year
Month
Day
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