The Regency

Application for Housing

The Regency: Auraria's Student Housing Community, LLC - Housing Application for RMCAD Students

Please submit your application with a $150 non-refundable Application/Service Fee made payable to The Regency. Return to: The Regency, 3900 Elati Street, Denver, CO 80216. A refundable $50 Security Deposit will be due upon execution of your lease.
Accommodations are limited and will be leased on a first-come, first-served basis to qualified applicants. Housing selection requests are not guaranteed. The acceptance of this application does not ensure an accommodation. An accommodation is reserved only upon execution of the Lease Agreement by all parties. Prices are subject to change.
For information or assistance in completing this application, please call (303) 477-1950,or email info@regencystudenthousing.com.

APPLICANT DATA

Name:				Cellular Telephone:
	(FIRST)	(MIDDLE)	(LAST)

Current Local Address: (no P.O. boxes)
	(STREET)	(CITY)	(STATE)	(ZIP)	(YEARS AT THIS ADDRESS)

Previous Address: (no P.O. boxes)
	(STREET)	(CITY)	(STATE)	(ZIP)	(YEARS AT THIS ADDRESS)

Permanent Address: (no P.O. boxes)
	(STREET)	(CITY)	(STATE)	(ZIP)	(YEARS AT THIS ADDRESS)

Please provide the information for one (1) of the items below, and check the corresponding choice:

Driver's License

Passport

State ID

Number:

State:

Social Security Number:

Email Address:

DOB: //

Male Female

Single Married

School you will be attending: Rocky Mountain College of Art + Design

Emergency Contact:

Contact Telephone:

How did you hear about us?

Have you ever been convicted of a felony? Yes No		If "yes", please explain:
Are you currently or have you ever been on probation, parole, or suspended sentence for any conviction?	Yes No	If "yes", please explain:

Will you need a parking permit? Yes No	Vehicle Make:	Model:
	Year:	License Plate:

HOUSING SELECTION

RMCAD students are housed together on the 3rd floor of the North Wing in double or single rooms, unless they request a different location or room type. Information about other room types & pricing is available by contacting The Regency directly. Rooms will be fully furnished, have private bathrooms, and individual climate control. Rent includes all utilities, basic cable TV, local telephone service, and high speed internet access. Monthly rent is per student. Please note the RMCAD academic calendar for fall/spring enrollment is 8 months. Please indicate your lease term and payment option below:

		12-Month Lease		10-Month Lease		8-Month Lease*	Payment Type:
Double 1 Bath	$495		$520		$620		Monthly (with approved credit)
Single 1 Bath	$650		$675		$790		Semester

Lease Effective/Move-in Date: Month: Day:

*8-month lease is only available for a lease term starting August 17, 2009 and ending April 28, 2010.

Meal Plan Options For the Fall 2009 and Spring 2010 Semesters (August 17, 2009 – December 12, 2009, and January 18, 2010 - May 15, 2010). Prices below are per semester.

Please Choose One:

19 Meals /week + $50 Declining Balance - $1450/semester
                                      15 Meals /week + $50 Declining Balance - $1360/semester
                                      10 Meals /week + $50 Declining Balance - $1295/semester
                                    7 Meals /week + $50 Declining Balance - $930/semester

If you have already chosen your roommate, please indicate their name below. All roommate choices must be mutual in order to be placed together. Each roommate must complete his/her own Application for Housing and qualify for housing. If you do not have a roommate preference, The Regency will assign a roommate (unless you have selected a “single” room). If you wish to learn the name & contact information for your assigned roommate in advance of your move-in, please contact The Regency directly.

The name of my preferred roommate is:

1. Do you consider yourself very:
talkative and expressive
quiet and reserved

2. Do you prefer a roommate who:
is very social
not very social

3. Do you prefer music/TV:
loud
quiet

4. Is your living space usually:
very neat and orderly
not very organized

5. Do you prefer to do your homework:
alone
with others

6. Smoking is not allowed in the Regency, are you a smoker?
yes
no

7. If you are not a smoker, are you willing to live with someone who does smoke?
yes
no

8. Do you have asthma or strong allergies to anything?
yes, please list
no

Other Comments:

PARENT/GUARANTOR INFORMATION


(PARENT/GUARANTOR NAME)

Home Telephone:			Cellular Telephone:			Email:
Current Address: (no P.O. boxes)
	(STREET)	(CITY)	(STATE)	(ZIP)	(YEARS AT THIS ADDRESS)

(must provide in order to process application)
(SOCIAL SECURITY NUMBER)	(RELATIONSHIP TO APPLICANT)

Current Employer:

Supervisor:

Work Telephone:


Monthly Gross Income: $	Have you filed a Petition for bankruptcy in the last 7 years? Yes No

BY CLICKING "SUBMIT", I DECLARE AND AFFIRM THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE THE REGENCY: AURARIA'S STUDENT HOUSING COMMUNITY, LLC OR ANY OF ITS AGENTS TO VERIFY THE ABOVE INFORMATION AND OBTAIN A CONSUMER CREDIT REPORT OF THE APPLICANT AND GUARANTOR NAMED IN THIS APPLICATION. I FURTHER UNDERSTAND THAT AN INCOMPLETE OR INACCURATE APPLICATION IS A REASON TO REJECT THIS APPLICATION.

Note: items marked must be filled out. If you are returned to this page, please check the items marked with stars.