Date Received
|dd |mm |yyyy |
Room Accepted
|dd |mm |yyyy |
Room Offered
|dd |mm |yyyy |
|dd |mm |yyyy |
3330 22
Ave · Prince George BC · V2N 1P8 · p 250 561 5849 · tf 800 371 8111 · e · w CNC PG Campus Housing RTRN
First name
Cell phone
Date (today)
|dd |mm |yyyy |
Last name
Personal email
1. return to campus within a six month period after having lived off campus during an academic break
note: academic breaks are time away from CNC studies and do not include vacation or holidays for which you retain your room
a. if it has been longer than 6 months since you’ve lived on campus - STOP! complete the Academic & Trades Application
b. if you wish to extend your stay on campus - STOP! complete the Extension Request. This is NOT an extension form
Submit form directly to from your personal email. Return assignments subject to availability.
Fall September to December 20
(1 semester, 16 wks) October 15
for spring extension
Spring January to April 24
(1 semester) February 15
for summer extension
academic weeks are Sunday to Saturday | we do not do half weeks | rooms default to standard
Returning on (preferred date)
dd |mm |yyyy |
last consecutive day
dd |mm |yyyy |
Duration on campus
# of weeks
and/or +
# of semester(s)
Standard Private (8) Large (4) Accessible (4)
I identify as
Male Female Other
I’ll share a washroom with
Male Female Either
I request a washroom with - this person must have an active application
First and last name
Program Name
Certificate Diploma Trades | part time full time
in addition to existing terms and conditions
1. Room type preference to individuals who received their full security deposit back from their previous stay on campus
2. Security deposits 1) remain at $250 balance, 2) required to hold your room, 3) used against outstanding housing fees, 4) held
between semesters and not refundable if room is canceled or no contact is received within 90 days of your return date
3. Check in dates are as specified in room offer email. Room access will not be provided outside of these dates
4. Valid credit card number or intended method of payment must be indicated or application will not be processed
5. I will clean my washroom, or arrange an alternating cleaning schedule with my washroom mate on a
6. I am allowed to drink alcohol outside my room, smoke or vape non-tobacco substances on housing grounds?
true false
Card Number
Name on Credit Card
Authorizing Signature
typed signature accepted
In making this application, I have personally read the contents in its entirety, and agree to the terms, conditions, and processes described within,
and that all of the information I have provided is correct. I acknowledge that residing on campus requires compliance with Housing policies. I
agree to conduct myself in alignment with the Community Standards and if unable to do so, will make alternate living arrangements.
Your Signature
Date of signing
|dd |mm |yyyy |
This information is collected for the purpose of securing accommodations at CNC. Your privacy is protected under the Freedom of Information and Privacy Act, limiting how your information may be
used or disclosed. Please contact the Freedom of Information Coordinator, College of New Caledonia, at 250 561 5828.