Summer Intern Housing Application

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This form is for non-EvCC students over the age of 17 seeking housing for a short term internship in the Everett, WA area. Parental consent is required for applicants under the age of 18.

Everett Community College does not discriminate on the basis of race, color, religious belief, sex, marital status, sexual orientation, gender identity or expression, national or ethnic origin, genetic information, veteran status or age.

Please reach out to us at housing@everettcc.edu if you have any questions regarding our application.

Email *

Full Legal Name *

Preferred or Nickname

What is your Date of Birth? (All applicants MUST be 17 at the time they move in.) *

YYYY

Email Address *

Phone Number *

Current Address *

Where is your internship? *

First Building Preference for Housing *

Cedar Hall

Mountain View Hall

Second Building Preference for Housing *

Cedar Hall

Mountain View Hall

Do you have a ctcLink ID? If so please list it:

Do you know the dates of your internship? *

Yes, the below dates are my final move in and move out dates.

No, the below dates are estimates.

What date will you move in to Student Housing? *

YYYY

What date will you move out of Student Housing? *

YYYY

What is your gender? *

Male

Female

Non-Binary

Prefer not to say

What are your pronouns?

Roommate Preferences *

Single Gender (Placement based on the gender listed above)

Gender Inclusive (Multiple genders may be placed in an apartment, regardless of identity)

No Preference

Do you have any requested roommates? If so, What are their names? *

EMERGENCY CONTACT: Name

EMERGENCY CONTACT: Relationship

EMERGENCY CONTACT: Phone Number

EMERGENCY CONTACT: Email Address

Please review the following Student Housing Rent costs and Fees:

Application Fee: $200

Administrative Fee: $300

Refundable Housing Deposit: $200

Rent: Calculated per diem, and will be sent via email 5-7 business days after housing staff review this completed application

I have read and understand that I am financially responsible for the above rates should I move in to Student Housing.

Everett Community College and student housing are substance free environments. Alcoholic beverages, illegal drugs and the use of medicinal or recreational marijuana are prohibited to be both used and/or stored on our property, regardless of age. *

I have read and understand this statement.

Please type your full legal name as a signature on this application. *

A copy of your responses will be emailed to the address you provided.

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