New Paltz Hostel Student Housing Request All utilities included, gas, electric, heat, water, interne...

Name

First NameLast Name
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Gender
Birthday (mm/dd/yyyy)
Cell Phone Number

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EMAIL ADDRESS
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Current Address

Street Address

Street Address Line 2

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The New Paltz Hostel has zero tolerance towards illegal drugs and is in a ************** DRUG FREE SCHOOL ZONE ******************** Drug-Free living environment. The New Paltz Hostel is strongly committed to providing a safe, healthy, and productive living environment for all students. The Hostel recognizes that drug abuse affects our society at all economic levels and ages. Drug abuse in the Hostel creates obvious problems. Students who take drugs are less productive, are absent more frequently, are more likely to be involved in accidents, and tend to have negative encounters with other residents. Drug abuse causes other serious problems: it increases health care costs, takes extra supervisor and managerial time, increases incidents of criminal activity, and has an adverse effect on our public image. Drug Abuse Policy Possession, sale, non-prescriptive use, distribution, dispensation, manufacture, or transfer of any controlled substance is prohibited. Controlled substances can include heroin, codeine, morphine, cocaine, "crack" or other cocaine derivative, amphetamines, barbiturates, LSD, marijuana, or mescaline. Violation of this policy will result in disciplinary action, which may include immediate termination of lease. Where appropriate, the violator may face arrest and criminal prosecution.
I am aware that there is a "NO" Smoking Policy within the New Paltz Hostel and smoking is only permitted in the back of the property
I am aware that there is a no alcohol policy at the Hostel
Have you ever applied for housing or work at the New Paltz Hostel before? If so when?
How did you find out about New Paltz Hostel? Referred by anyone? if so who
Room type
**Inquire via email about the available work trade options (save up to $50/month)**
I understand if my application is accepted I will have to submit a security deposit of 1 month's rent.
Move in date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Move out date (any changes need to be submitted 30 days before new move out date)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I understand that I need to pay a months room security deposit, that I will receive back after the room, refrigerator, and cabinet is vacated, cleaned and left in the same condition I moved in.
Where are you living now? Be very specific.
Please include current landlord and phone and address
How much are you paying rent?
Why are you moving?
Who is going to be legally responsible for your monthly rental payments and the lease?
What is the source of income to pay the rent each month? Please be detailed.
Why do you want to move to the Hostel?
Education: please check all that apply.
Are you attending SUNY New Paltz?
When will you graduate or transfer from SUNY New Paltz?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have a car?
Special Courses, Training, Experience, and/or Skills you may have.
Employment History: LIST PRESENT OR MOST RECENT FIRST!
Name and address of employer #1.
Starting pay rate
Ending pay rate
Date hired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date departed or leave blank if still working there

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Supervisor Name
Position held and duties performed
Reason for leaving
Character References (include at least 1 employer:

My Products

Background Check$50.00

To keep the home safe, we run background checks on all potential residents.

Total $0.00

Credit Card

State any additional information you feel may be helpful to us in considering your application.
I understand that if a nationwide background check reveals anything not disclosed above my application will be automatically disqualified.
I understand this is a shared environment. By checking this box, I agree to keep the common areas clean and sanitary. We do not permit pets.
Guests are allowed in the Hostel but must leave by 10:00PM & 2 overnight guests are permitted per month for free, each additional overnight guest would be $30 per night - Staff must be notified of all overnight guests.
Emergency contact (example: parent or guardian).

Namerelationship
Phone Number

Area CodePhone Number
During your stay at the Hostel how will you be spending your time?

Other
By typing my name below I give permission to verify all information and I certify that the information provided above is true and correct. I authorize a nationwide background and credit check. My rent payment history will be reported to NTN
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