STUDENT HOUSING
20192020 Application
ELIGIBILITY:
 Must be a full‐me student (at least 12 credits each
semester). Contact Director of Student Life if not a full‐me
student.
WHAT’SINCLUDED:
 Ulies (Heat, Water, Electricity, etc.)
 High Speed Internet
 Standard twin bed and dresser
 Kitchen table and chairs
 Stove & refrigerator
DIRECTIONS:
 Fill out both sides of the applicaon completely.
 Sign the boom of the applicaon.
 Return your completed applicaon and your $150 security
deposit. Applicaonsreceivedwithoutasecuritydeposit
arenotvalid.
FIRST & LAST NAME: __________________________________________________________________________
HOME ADDRESS: _____________________________________________________________________________
CITY, STATE & ZIP CODE: _______________________________________________________________________
PREFERRED/NICK NAME: ______________________________________________________________________
E‐MAIL ADDRESS: ____________________________________________________________________________
HIGH SCHOOL OR PREVIOUS COLLEGE GPA: _______________________________________________________
ACADEMIC PROGRAM OR MAJOR: _______________________________________________________________
HAVE YOU EVER BEEN CONVICTED OF AN ASSAULTIVE CRIME, DRUG CRIME, OR FELONY AND/OR DO YOU HAVE
PENDING CRIMINAL CHARGES FOR AN ASSAULTIVE CRIME, DRUG CRIME, OR FELONY? Yes No
RETURNINGSTUDENTSONLY;PLEASE INDICATE YOUR PREFERRED APARTMENT FOR 2019‐2020: ____________________
FirstChoice SemesterRentRefundPolicy
4 person/2 bedroom apt. $1600 per person ‐ Cancel by June 15: 100% refund of deposit
2 person/1 bedroom apt. $1600 per person ‐ Cancel June 15‐Aug.1: 50% refund of deposit
‐ Cancel aer Aug. 1: Forfeit deposit
Semesterrentisnon‐refundable/adjustable aerthesecondFridayofthesemester.Rent must be paid in full, covered enrely
by Financial Aid, or student enrolled in the FACTS payment plan through the Student Accounts Office by your tuion due date or
your Housing assignment may be cancelled and your classes dropped.
ROOMMATEPREFERENCE(S):1. ___________________________________ 2._________________________________
3.___________________________________
Applicaons should be mailed to:
BayCollegeStudentHousing
2001N.LincolnRoad
Escanaba,MI49829
Quesons? Contact:
DaveLaur
906‐217‐4031
dave.laur@baycollege.edu
NAME: ____________________________________________ BAY COLLEGE ID #: _____________________
AGE: _____________ DATE OF BIRTH: __________________ MALE FEMALE
YEAR OF HIGH SCHOOL GRADUATION: ___________________ SELF‐IDENTIFY ____________________
HOME PHONE: ___________________________________ CELL PHONE: ____________________________
Do you prefer to:
□ Keep your room neat with everything in its place most of the me?
□ Not worry about how your room looks, leng it get cluered somemes or even most of the me?
Do you prefer to go to bed:
□ Relavely early (generally before midnight)?
□ Late (generally aer midnight)?
When you are studying, are you:
□ Easily distracted, preferring relave quiet?
□ Able to ignore background noise?
Do you expect your apartment to be:
□ A fairly private place to relax and study?
□ A place where your friends come to socialize a bit?
How do you feel about having your roommate use/borrow your things?
□ I don’t care
□ It’s okay as long as he/she asks.
□ My roommate should never use my things
How do you feel about your roommate having students of the opposite sex in
your apartment?
□ I don’t care
□ I would prefer not
EMERGENCYCONTACTINFORMATION:
Name: __________________________________________________________________ Home Phone: ___ _______________
Cell Phone: _________________________________ Relaonship: ___________________________________________
I represent that each answer is truthful and constutes a full and complete disclosure of my knowledge with respect to the
quesons and hereby authorize a criminal background check as may be necessary in reaching a decision regarding acceptance of
this housing applicaon. I understand that any misrepresentaon of facts shall constute cause for removal from student
housing, regardless of when discovered by the College. I understand that Bay College’s acceptance of this applicaon for student
housing accommodaons will ensure that I will be considered for a student apartment, but does not guarantee me the
apartment/roommate preferences I have indicated.
Signature: __________________________________________ Date: __________________________
Student Housing is
completely alcohol/
tobacco/marijuana free,
regardless of resident(s) or
guest(s) age.
COLLEGEPOLICY
Office Use Only
Security Deposit received?
Date_________ By__________
Background Check completed
Date_________ By__________
MISSINGPERSONCONTACTINFORMATION(IfdifferentthanEmergencyContactInformaon):
Name: __________________________________________________________________ Home Phone: ___ _______________
Cell Phone: _________________________________ Relaonship: ___________________________________________
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