Choose One:

Applicants are responsible for checking their application status. Please ensure you provide accurate contact information.

*Applications must be completed in full and must be accompanied with supporting documents including proof of payment of the application fee, and proof of full-time student status (Acceptance Letter, Returning Student Form or Letter from Enrolment Services). All supporting documentation must be emailed in pdf format to housing@ucn.ca before the application can be processed.

Contact Information

Last Name

First Name

Middle Name

Street or P.O. Box #

City

Postal Code

Phone

Email

Confirm Email Address

Student Information

Student Type

Gender

Student ID

Age

Program

Program Length or Level

Anticipated Arrival Date

Departure Date

Vehicle Information

Do you own a vehicle?

Plate #

Color

Model

Make

Housing Options: Choose One

UCN Family Housing

Number of Bedrooms

Apartments

Number of Bedrooms

1. Must be a registered, full-time (9 credits or 60% course load) student in a university/college level UCN program.
2. To apply for a UCN Family Housing unit, applicants must have a family with dependents aged 17 and under and who remain under the age of 17 for the duration of the applicant’s tenancy.
3. Proof of full-time UCN student status. Conditional acceptance letters and those on a wait list are not accepted.  Example: Acceptance Letter, Returning Student Form, or Letter from Enrolment Services
4. Income information is required for everyone over the age of 18 on the agreement. Example: Sponsorship Letter, Student Loans, Income Assistance, Pension, or 3 Pay Stubs, etc.)
5. Must have paid the application fee.

Name:

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Family Member 2

Name

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Family Member 3

Name

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Family Member 4

Name

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Family Member 5

Name

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Family Member 6

Name

Age

Gender

Relationship to Applicant

Income Status (Ex. Working, School, No Income)

Health Information

Health Insurance No.

Medications

Allergies

Health History

Specify

Emergency Contact Information

Last Name:

First Name

Relationship:

Home Phone

Cell Number

Work Number

Payment Information

How will you be paying for the dorms?

Specify Payment

Carroll Hall Agreement

1. Application: Applications and 1st payments are due a minimum of one week before the check-in date. It is the student’s responsibility to check bed availability in advance. Beds are not guaranteed if the application and/or payments are late.

Application Payment Options