APARTMENT LIVING
APPLICATION
Step 1
Step 2
Getting Started
To assist you in the Apartment Renewal Process, please take a moment and go to the following website to learn
more about housing options, review apartment layouts, and read our Frequently Asked Questions:
http://www.creighton.edu/ResidenceLife
Bluejay Information
Net ID: __________________________________________
____________________________________________________________________________________________
Print Last Name
First Name
Middle Name
____________________________________________________________________________________________
Home Address
City
State
Zip
Gender:
Step 3
Female
Male
Home Phone: (
) ____________-_____________________
Birthdate: mm _____ dd _____ year _____ Cell Phone: (
) ___________ - _____________________
Placement Information
A) Our campus is tobacco-free. However, please indicate if you smoke or do not smoke.
Smoke
Do not smoke
Thank you for your honesty.
B) Please indicate class year for 2009-10:
C) Preferences (check one)
My room is:
I plan to study:
I consider myself a:
Junior
Senior
Graduate/Professional
Untidy
Casual
Less than 20 hours per week
Morning person
Neat
More than 20 hours per week
Late night person
D) Special considerations/needs related to housing: __________________________________________________
E) Expected major/field of study: ________________________________________________________________
Step 4
Dining Information
Meal plan options are subject to change. If you are interested in a meal plan, please sign up via your Creighton
NEST account.
Step 5
Contract Signature
Your typed signature below indicates your receipt of and agreement to abide by the terms and conditions in the
Creighton University Apartment Living Agreement for the 2009-10 year.
________________________________________
Bluejay Signature
Date
___________________________________________
Parent Signature
Date
(If student is under 19 years of age, parent signature is required.)
Housing Assignments Office, Department of Residence Life, Creighton University, Omaha, NE 68178
Please save, attach document to
an email and send to
[email protected]
Step 6
Housing Assignments Office Use Only: (Please do not write in this space.)
Application Date:
_________________________
BUILDING:
______________________________
Banner Date:
_________________________
APARTMENT: ______________________________