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BQNFC Student Housing Application Form


BQNFC Student Housing Application Form

Blue Quills First Nations College Applications for Student Housing form.

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SPECIFY THE ROOM/PLAN YOU ARE APPLYING FOR:
Diner on-site: Meal cards can be purchased at finance office or topped up.

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Name
First

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Middle

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Last

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Gender

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Date of Birth

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Address

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City/Town/Village

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Province

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Postal Code

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Home Phone

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Cell

Email Address

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Marital Status

Name of Spouse

Spouse Phone Number

Spouse Work Phone Number

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Emergency Contact

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Emergency Contact Phone Number

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Status

Band Name

Treaty Number

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Medical Issues

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Program Attending
Please choose from one of the following options.

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My Housing will be paid by:
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Damage Deposit Fee/Rent Fee
(Damage Deposit and Rent is required in FULL before moving in, no exceptions) Damage $150.00. Date Paid:

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Rent: $300.00
Date Paid

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Expected Occupancy Date:

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Departure Date:

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Method of Payment
Certified Cheque or Money Order should be made payable to: Blue Quills First Nations College.
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NOTE: Damage Deposit is required 2 weeks prior to check-in and a 2 week notice is required when moving. The damage deposit will be kept if there are any damages to the room/property or if any items from the room are missing.
RENT IS DUE ON THE 1ST OF EVERY MONTH IN FULL, NO EXCEPTIONS! Absolutely no pets allowed.
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I authorize the investigation of all statements contained herein. I understand that any misrepresentation or omission is cause for refusal of admission or eviction. Note: Applications cannot be processed until DAMAGE DEPOSIT FEE is RECEIVED IN FULL.
Did you answer all the questions to the best of your knowledge before signing the application form? Please sign below.

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Date Signed

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