Application

1. General information

Name *

Social security no. *

No SSN

Legal residence *

Zip code *

Phone *

Mobile phone *

E-mail *

E-mail repeated *

Other information

2. Education

School *

Other school

Study track *

Study begins *

Study ends *

3. Apartment type

Want housing from *

Apartment type *

Disability access

First choice *

Second choice

Third choice

4. Registration and terms

Register spouse / flat mate

Name *

Socoial security no. *

No SSN

E-mail *

E-mail repeated *

School

Study track

Study begins

Est. study end

Mobile phone of spouse

Spouse place of work

Register children

Name of child

Date of birth

Name of child

Date of birth

Name of child

Date of birth

Name of child

Date of birth

Name of child

Date of birth

Name of child

Date of birth

Sign digitally

* Required fields