Student Housing Placement Application

California College of Music Housing Application

Apply for student housing for upcoming terms. Please complete all required fields to be considered for accommodation.
Personal Information
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
MaleFemaleNon-binaryPrefer not to say
Contact Information
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Permanent Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Academic Information
Intended Program of Study*
Expected Start Term*
Housing Preferences
Earliest Move-in Date

MonthDayYear
Date
What is your budget for rent?
YesNo
YesNo
Same sexNo Preference
Do you have any alergies?
If so, please specify:
Do you have any special housing needs or accommodations?
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship to Applicant*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
Checkout

Student Housing Placement Fee

$262.50 Quantity

Total

$0.00

California College of Music Housing Application