CSU SUMMER 2016 COLLEGE INTERN HOUSING APPLICATION
Department of Residence Life
2450 Euclid Ave. Room #198 Cleveland, OH 44115
216.687.5196
Fax: 216.687.5156
www.csuohio.edu/reslife
1. Please submit your application with a $50 non-refundable application fee; $25 of this application fee will be applied
to your security deposit. Make check or money order payable to “Euclid Commons.”
2. Accommodations are limited and will be leased on a first-come, first-served basis. The acceptance of this application
does not ensure accommodation. An accommodation is reserved only upon execution of the housing agreement by
all parties. Prices subject to change.
3. For information or assistance in completing this application, please call 216.687.5196.
Name:
(FIRST)
(MIDDLE)
(LAST)
Address:
(STREET)
Work Phone:
(CITY)
(STATE)
_
(ZIP)
Cell Phone:
E-mail Address:
Company Name:
Supervisor’s Name:
Supervisor’s Phone:
Supervisor’s Email:
Check in Date/Time:
Check out Date/Time:
Interns are housed on a weekly basis (Saturday through Friday) from May 28 - August 13. Your contract will be for the
weeks stated above.
Driver’s License Number: ______________________________
[ ] Male
[ ] Female
COMMUNITY CONDUCT STANDARDS - an affirmative response must be accompanied by a written explanation of your specific situation.
Have you ever plead guilty or been convicted of a criminal offense or have charges pending against you at this time?
[ ] Yes [ ] No
Have you ever been dismissed, suspended or placed on probation by any other college or university for a NON-ACADEMIC reason?
[ ] Yes [ ] No
Have you ever been evicted from any residence?
[ ] Yes [ ] No
Have you ever filed bankruptcy?
[ ] Yes [ ] No
Cleveland State University is an Affirmative Action/Equal Opportunity Institution
Professionally managed by
CSU SUMMER 2016 COLLEGE INTERN HOUSING APPLICATION
Department of Residence Life
2450 Euclid Ave. Room #198 Cleveland, OH 44115
216.687.5196
Fax: 216.687.5156
www.csuohio.edu/reslife
Rate and Floor Plan:
Private
Bedroom
$191 per week
Special Requests:
Amenities include:
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Air Conditioning
24 hour courtesy desk
Wireless Internet Access
Free Laundry
Walking distance to restaurants
After hours on-call staff
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In-room kitchens
Convenient check in/check out
Game Room
Walking distance to Downtown Cleveland
Access to public transportation
If you fail to answer any question, or if you have given false information: (1) we are entitled to reject this application; (2) we will
retain all processing fees and deposits as liquidated damages for time spent and expenses; (3) we will terminate any right to lease
the bedroom; and (4) if you have signed a lease, it will be a violation of the lease.
By my signature I attest that the information contained herein is correct. The management is authorized to verify my credit history,
and all other submitted information for the purpose of evaluating this lease application.
I certify that the information provided on this application is accurate and complete. I understand that any misrepresentation or
omission may be cause for the University to revoke housing privileges.
Applicant Signature:
Date:
Cleveland State University is an Affirmative Action/Equal Opportunity Institution
Professionally managed by