Graduate Student Housing Application Graduate Student Housing Application Personal InformationYour Name* First Last Your Email*Cell Phone Number*Gender*MaleFemaleCurrent Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Married*YesNoSpouse Name*Housing InformationSemester Applying For:* Semester Year Enter the semester and year that you are applying to move into the Emmanuel Village.Date Apartment Needed:* Will any children be living with you?*YesNoNumber of Children Living With You1234+Children Ages and Gender:*Please enter the age and gender of each child in this section.Prefer to Live*Emmanuel VillageMilligan Student ApartmentsFor MSA, I prefer: 1st Floor 2nd Floor I will be attending:* Emmanuel Christian Seminary at Milligan Milligan College Graduate Program Other If you are not enrolled as a student, please explain:*Milligan Graduate Program*Occupational TherapyPhysician AssistantMEdCounselingDo you prefer a roommate?*YesNoRoommate Request: First Last We will work diligently to accommodate all roommate requests, but cannot guarantee we can honor them if space is unavailable in the Emmanuel Village. If left blank, a roommate of same gender will be assigned to you. Important InformationThis application is not a guarantee of assignment in the Emmanuel Village. Emmanuel Christian Seminary students have priority for housing in the Emmanuel Village and apartments are assigned on a first-come basis once a student is deposit-paid and/or enrolled in classes. The deposit, equal to one month's rent, is due upon receipt of notice of apartment assignment. If the Student Development Office is not notified in writing of cancellation 30 days prior to expected occupancy, the deposit may be forfeited. Deposits on occupied apartments will be refunded after the in-person check out with the Apartment Manager, the apartment has been vacated, and the damages are settled. Apartment residents are expected to abide by the terms of the lease and all regulations relevant to the college community. Untitled* I have read the information and understand the terms outlined above.