University of Maryland Housing | Housing Application

UMB Housing Application
Fayette Square and Pascault Row

All information with a red label is required.

Applicant Information

First MI Last

Permanent Home Address

Street

City

State

Zip/Postal Code

Province/Country

Home Phone

Cell Phone

Date of Birth

International Student

University ID

Gender Male Female

E-mail Address

School E-mail

Personal E-mail

Choose the email address you prefer to receive information:

School Personal

How did you hear about us?

School Information

Classification

Student Status

UMB School Attending

Requested Start Date

Requested End Date

Expected
Graduation Date

Note: Short term licenses are offered on a space available and incur an additional fee. UMB and affiliated students are not eligible for short term licenses.

UMB Housing will automatically set the move-in date for all students 3 days prior to the Orientation start date of their academic program. Any requested Start Date more than 3 days prior to their Orientation start date will incur an early move-in fee of $40 per day. Request to waive the early move-in fee must be submitted via email (umbhousing@umaryland.edu) with supporting documentation

Emergency Contact Information

First MI Last

Home Phone

Cell Phone

Work Phone

E-mail

Same as Permanent Home Address

Street

Street2/Apt

City

State Zip

Roommate Information

I wish to be housed with students in the same school I am attending.

Please identify roommate choices. We will do our best to honor your request. Best efforts will be made to assign roommate in the same school as applicant, but cannot be guaranteed. (max of seven):

First Last Email Phone

Would you prefer to be assigned to single gender or gender inclusive housing?

Please identify your 3 housing choices. We will do our best to honor your request.

1st Choice

2nd Choice

3rd Choice

Roommate matching is done primarily by gender and school. If you have any special requests regarding roommate matching, please explain:

Please note, we may not be able to accommodate all requests.

Any additional information we may need to know when making your housing assignment:

I give permission to release my contact information to prospective roommates.

Pets

Please note that Fayette Square is the only pet friendly on-campus housing option. Pets are not allowed in Pascault Row.

I have applied to live in Fayette Square and I would like to apply to have a pet (further information will be emailed to you to apply for having a pet)

Please check all pet types that you have:

Small Domestic Rodent
Lizard, Crustaceans, or Amphibian
Small Bird
Fish tank greater than 10 gallons
Dog less than 40 lbs.
Cat

I have applied to live in Fayette Square, do not have a pet of my own, but would live with a pet if I am assigned to a multi-person unit.

Please check all pet types that you would be comfortable living with:

Small Domestic Rodent
Lizard, Crustaceans, or Amphibian
Small Bird
Fish tank greater than 10 gallons
Dog less than 40 lbs.
Cat

I have applied to live in Fayette Square and do not want to live in an apartment with any pet.

Terms and Conditions

Applicant understands that if, at any time, there are vacant bedrooms in the applicant's assigned apartment, Capstone On-Campus reserves the right to assign roommates without prior notice and/or to relocate the applicant to another unit. Applicant further understands that roommate compatibility is not guaranteed.

Applicant represents that all of the above information is true and complete and authorizes the verification of same by reasonable means. Any misrepresentation or omission may be cause for the rejection of this application and/or the termination of the Housing License Agreement. Applicant further authorizes free exchange of information between The University of Maryland (or affiliated university) and Capstone On-Campus, including but not limited to the applicant's student status, academic records, judicial records, and financial records to be used to determine whether this application shall be approved or disapproved.

Applicant understands and agrees that Housing License Agreement cancellations will be granted in accordance with the posted Housing License Cancellation Request Form on www.umaryland.edu/housing.

Applicant understands that (their SAR information and a copy of their Financial Aid, Award Letter of the Parental Guarantor Form) is required for the completion of the application process, and that failure or refusal to provide this information may result in the cancellation of this application and any resultant Housing License Agreement.

I, the Undersigned Applicant, have read and agree to all terms and conditions set forth in this application. I understand that this application is part of my Housing License Agreement, especially those areas regarding earnest monies.

APPLICANT SIGNATURE:

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