Campus Services University Housing Application

University Housing Rental Application

Fields marked with * are required

First Name: *

*

Last Name: *

Email: *

UH Campus: *

UH College: *

UH Department: *

Phone (home): *

Phone (mobile):

Phone (office):

Current Address

Street: *

City: *

State: *

Zip Code:*

UH Campus Address

Street:

City:

State:

Zip:

Initial Occupancy Date Requested: * (mm/dd/yyyy)

Number of Occupants:

Adults: *

Children:

Do you intend to reside in University Housing for less than one (1) year?: * Yes No

Do you currently own real property on the island of O‘ahu?: * Yes No

Have you occupied a unit in a University Housing complex in the last three (3) years?: * Yes No

Complex and Unit Preference

Please check the complexes that you are applying for and indicate unit preference. University Housing recommends only applying for units that you are willing to accept because declining a unit will impact your position on the waitlist.

Wa‘ahila

Preferred Wa‘ahila Apartment Size (indicate up to 3 choices)

First Choice:

Second Choice:

Third Choice:

Kau‘iokahaloa Nui

Preferred Apartment Size (indicate up to 2 choices)

First Choice:

Second Choice:

Kau‘iokahaloa Iki

Notes: (max 500 char)

I certify that the information provided in this form is true and correct to the best of my knowledge. I understand that if any discrepancies are discovered after I have received housing from UH, my rental agreement may be subject to termination.

I acknowledge that if any information provided on my application changes, including but not limited to my unit preferences and requested initial occupancy date, I will contact University Housing as soon as possible to update my application accordingly.