Webform Block Basic Information Program Start Date Program End Date First Name Last Name City Province Postal Code Home Phone Cell Phone Email Address Gender Male Female Other: Enter other… Our community recognizes that there are many different labels and terms for individual identities. Date of Birth NWP Student ID Program of Studies Personal Preferences We receive many more applications than we have housing available. Therefore, it is important for us to know your lifestyle preferences so we can match you with the most compatible roommates possible. Noise Level Quiet especially during evenings Regular regular activity, but evening/night noise is controlled Alcohol Drinking alcohol permitted in unit Non-Drinking alcohol not permitted Are you a Smoker? Yes No *The NWP Fairview Campus is a smoke free environment. Please refer to the Residence Handbook for more information. Accommodation Preference Please rank the units below in order of your preference: Preference Type of Unit First Choice Choose One...Single bedroom, Four personSingle bedroom, Three personDorm style cooking unitDorm style non-cooking unitFamily unit - 2 bedroom (families with children only)Family unit - 3 bedroom (families with children only) Second Choice Choose One...Single bedroom, Four personSingle bedroom, Three personDorm style cooking unitDorm style non-cooking unitFamily unit - 2 bedroom (families with children only)Family unit - 3 bedroom (families with children only) Third Choice Choose One...Single bedroom, Four personSingle bedroom, Three personDorm style cooking unitDorm style non-cooking unitFamily unit - 2 bedroom (families with children only)Family unit - 3 bedroom (families with children only) Fourth Choice Choose One...Single bedroom, Four personSingle bedroom, Three personDorm style cooking unitDorm style non-cooking unitFamily unit - 2 bedroom (families with children only)Family unit - 3 bedroom (families with children only) Fifth Choice Choose One...Single bedroom, Four personSingle bedroom, Three personDorm style cooking unitDorm style non-cooking unitFamily unit - 2 bedroom (families with children only)Family unit - 3 bedroom (families with children only) Preferred Roommates If there is anyone you would prefer as a roommate, please list them here. Please note that this request is not guaranteed. The requested person(s) must add your name to their application as well. You must also choose the same lifestyle choices. Other Information/Comments Terms and conditions By submitting this form, you are giving us permission to contact you as needed. The personal information you provide on this form is collected under the authority of the Post-secondary Learning Act and in compliance with section 33(c) of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act and will only be used for the purpose of recruitment, research, and processing of your request by NWP. In pressing Submit below, you consent to this use of your personal information. Questions about the collection or use of this information should be directed to the Information and Privacy Coordinator at @email or 780-539-2068. Certain personal information will be disclosed, by agreement, to the following: Prospective roommates during the room assignment process Roommates during the checkout process for the finalization, or calculation, of security deposit returns Statistics Canada as required under the Statistics Act (Canada) Advanced Education and Career Development to meet reporting requirements and for statistical, funding, planning or research purposes. I have read and understand the above and hereby agree to the collection and dissemination of my personal and other information for the purposes stated above. Application Requirements When applying for Residence, you must pay a $200 security deposit before your application is processed. Not applicable for Family Applications If you are denied admission to residence, you will be refunded your security deposit Per academic year, a $25 administrative fee (non refundable) will be deducted from the $200 security deposit If you already have a deposit on file, you will be required to pay the $25 administrative charge for the new academic year. I have read and understand the above requirements regarding my security deposit. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.