Graduate Housing Application Personal InformationYour Name* First Last Your Email*Cell Phone Number*Gender*MaleFemaleCurrent Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Married*YesNoSpouse Name*Housing InformationSemester Applying For:* Semester Year Enter the semester and year that you are applying to move into the Emmanuel Village.Date Apartment Needed:* Date Format: MM slash DD slash YYYY Will any children be living with you?*YesNoNumber of Children Living With You1234+Children Ages and Gender:*Please enter the age and gender of each child in this section.Prefer to Live*Emmanuel VillageMilligan Student ApartmentsFor MSA, I prefer: 1st Floor 2nd Floor I will be attending:* Emmanuel Christian Seminary at Milligan Milligan College Graduate Program Other If you are not enrolled as a student, please explain:*Milligan Graduate Program*Occupational TherapyPhysician AssistantMEdCounselingDo you prefer a roommate?*YesNoRoommate Request: First Last We will work diligently to accommodate all roommate requests, but cannot guarantee we can honor them if space is unavailable in the Emmanuel Village. If left blank, a roommate of same gender will be assigned to you. Important InformationThis application is not a guarantee of assignment in the Emmanuel Village or Milligan Student Apartments (MSA). Seminary students have priority for housing in Emmanuel Village, and apartments at Emmanuel and MSA are assigned on a first-come basis once a student is deposit-paid and/or enrolled in classes. The deposit, equal to one month's rent, is due upon receipt of notice of apartment assignment. If the Student Development Office is not notified in writing of cancellation 30 days prior to expected occupancy, the deposit may be forfeited. Deposits on occupied apartments will be refunded after the in-person check out with the Apartment Manager, the apartment has been vacated, and the damages are settled. Apartment residents are expected to abide by the terms of the lease and all regulations relevant to the college community. Terms Agreement* I have read the information and understand the terms outlined above.