All information with an orange labelis required.

The Daumier only provides housing to WUHS Students, Faculty and Staff, and their families.

Applicant Information

Permanent Home Address

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If you are not a legal US Citizen or Resident, please check the box below.

E-mail Address
If you are a University student, please provide your .edu or .org email address.
Choose the email address you prefer to receive information:

School Information

Emergency Contact Information


Apartment Preference

The following information will be used in assigning the apartment.  All of the preferences and comments provided below will be considered; however, apartment selection is solely based on availability at the sole discretion of the Landlord.

If possible, I would like to be assigned to the following apartment:

Unit Type Preference
1st Choice:   
2nd Choice: 


We have a 1 pet maximum and a weight limit of 50 lbs. Pets are limited to the first and second floor units only. Additionally, dogs of the following breeds are not permitted (purebred or mixed breed): Pit Bull (a.k.a. Staffordshire Terrier or Bull Terrier); German Shepherd; Husky; Malamute; Doberman Pinscher; Rottweiler; Chow Chow. Pets must be registered with the leasing office along with a pet photo and veterinary records. A pet fee and monthly pet rent will be assessed; call the leasing office for more information.

Special Housing Accommodations

Do you require any special housing accommodations due to a disability or medical condition? If yes, please explain in box below. You may be required to provide documentation regarding your request. Please note that any special housing accommodation request must be submitted at least 45 days in advance of the move-in date.

Terms and Conditions

Applicant represents all of the above information is true, 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 termination of this lease.  Applicant further authorizes free exchange of information between Western University of Health Sciences and Capstone Management, including but not limited to the applicant's student status, academic records, judicial records, and financial records to be used to determine whether this applicant shall be approved or disapproved.

Applicant understands the application fee of $50.00 (per Tenant) is non-refundable and non-transferable.  This fee is used to process credit history of applicant and/or Guarantor.

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