MLC Rental Application

2025-2026 MLC Leasing Application

Please complete & submit this application to be considered as a tenant at the MLC.
Applicant's Name*

First NameLast Name
Lived Name or Other Nickname
Privacy Policy

CA House uses MMS and SMS messaging to communicate with students and supporters. All information received from a student or supporter is strictly confidential. Our organization takes every step possible to protect your privacy. The data submitted is encrypted and secured using industry-standard 256-bit SSL encryption. We don’t share or sell your information with any company or affiliates. See our full privacy policy: cahouse.org/about/privacy-policy/
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Alternate Phone Number
Alternate Email
Date of Birth*

MonthDayYear
Date
Gender Identity*

MaleFemaleNon-BinaryGenderqueerTransgenderTransmasculineTransfemininePrefer not to discloseOther
Pronouns*

She/HerHe/HimThey/ThemHe/TheyShe/TheyPrefer not to discloseOther
Are you currently enrolled in school?*

YesNo
Please upload proof of enrollment! *

We accept SAR documents, financial aid documents, your class schedule, and transcripts.
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Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Race and Ethnicity Data

Please respond to the following questions if you feel comfortable doing so. As an equal opportunity housing provider, CA House does not discriminate: we believe everyone should be treated equally regardless of race, sex, gender identification, sexual orientation, national origin, native language, religion, age, disability, marital status, citizenship, genetic information, pregnancy, or any other characteristic. These questions are asked solely to satisfy local low-income housing reporting requirements.
Are you of Hispanic, Latiné, or Spanish origin?

YesNo
Please Provide Details

MexicanMexican AmericanChicanoPuerto RicanCubanSalvadoranDominicanColombianGuatemalanSpaniardEcuadorianOther
What is your race? (You may check more than one box)

WhiteBlack or African AmericanAmerican Indian or Alaskan NativeChineseFilipinoAsian IndianVietnameseKoreanJapaneseOther AsianNative HawaiianSamoanChamarroOther Pacific IslanderOther race
White: For example, German, Irish, English, Italian, Lebanese, Egyptian, etc.

Black or African American: For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.

American Indian or Alaska Native - Name of enrolled or principal tribe(s), for example: Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.

Other Asian: For example, Pakistani, Cambodian, Hmong, etc.

Other Pacific Islander: For example, Tongan, Fijian, Marshallese, etc.

Some other Race: Provide race, ethnic group, or origin
If you selected other race, please provide more details below:
Provide race, ethnic group, or origin
General Information
You must be a current community college or university student to apply to the MLC. Both undergraduate and graduate/professional students are welcome to apply!
School attending?*
Level of schooling

UndergraduateGraduateNon-degree seekingOther
Expected graduation year
If you are uncertain, please give an estimate.
Major/Minor
How did you hear about CA House (check all that apply):

College PadsASUCD Housing FairFacebookInstagramFriend/Word of MouthCurrent or Previous ResidentZillowGoogleOther
To the best of your ability, and as you are comfortable, please tell us how you identify religiously/spiritually (check all that apply).

As an equal opportunity housing provider CA House does not discriminate: we believe everyone should be treated equally regardless of race, sex, gender identification, sexual orientation, national origin, native language, religion, age disability, marital status, citizenship, genetic information, pregnancy, or any other characteristic. These questions are asked solely to satisfy local low-income housing reporting requirements.
Religious/Spiritual Identifications

MuslimJewishProtestant ChristianCatholicHinduBuddhistSikhUnitarian UniversalistSpiritualAgnosticNon-Religious/Atheist/SecularNot surePrefer not to discloseOther
Rental Preferences
When are you looking to move?*
2025-2026, next quarter, next month, ASAP - specify a date if you have one in mind.
Are you applying for a parking space?*

YesNo
Dietary Restrictions*

VegetarianVeganKosherHalalGluten-freeNoneOther
Do you have a support or assistance animal? *

YesNo
Please note that all service animals or ESA's will require documentation. CA house requires a letter from your healthcare provider and an additional form to be filled out about your animal.
House Gender Preference*
Are you interested in living in a specific house?

LGBTQ+ Welcome HouseHalal / Kosher House
Do you need an accessible room?*

YesNo
Type of room*

Single, furnishedSingle, unfurnishedDouble, furnished
If you selected Double, please provide name of chosen roommate:
Please confirm you have mutually chosen to be roommates. Your roommate must submit a separate application. If you do not have a roommate in mind we will match you with one if available.
Financial Assistance

Returning residents seeking financial assistance must re-apply for the new lease year, regardless of current aid being received.
Are you applying for Financial Assistance?*

YesNo
Please check all you wish to apply for:

Income Qualified RentStoneking Scholarship for LGBTQ+ students
If you selected Yes, please upload assistance verification

You may upload tax returns. financial aid documents/reports, paystubs, etc.
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Short Response Questions

Please familiarize yourself with the CA House Multifaith Living Community Agreement before answering these questions and type out a short, 2-3 sentence, response to each of the questions below.
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? *
Each year, CA House strives to build a truly diverse community of residents from all walks of life, academic interests, and cultural backgrounds. What do you hope to gain from this community? What do you hope to contribute to it? *
At some point in our lives, each of us encounters questions related to our personal faith and/or spiritual identity. While we recognize it can be difficult to express our spiritual identity to others, please tell us something about your own spiritual perspective or personal belief system that you feel comfortable sharing. How does your spirituality influence the rest of your life, such as interactions with friends and family, academic pursuits, community involvement, vocational goals, etc.? *
What justice issue confronting the world today do you care most about, and what do you feel an ethical response to that issue might be? *
References

Please enter three personal references. They should not be relatives, but may include community leaders, work supervisors, academic advisors, faith leaders, friends, former roommates etc... References from former landlords are strongly encouraged!
Please list three references with their full name, phone number, email, and relationship to you: *
Rental History and Signature
Have you ever been evicted or served with a 3-day notice?*

YesNo
All of my answers to the above questions are true and complete to the best of my knowledge and ability *

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2025-2026 MLC Leasing Application

Privacy Policy

Race and Ethnicity Data

General Information

Rental Preferences

Financial Assistance

Short Response Questions

References

Rental History and Signature