New Paltz Hostel
Off Campus Housing Request
All utilities included: gas, electric, heat, water, internet, phone, fax, copying & scanning.
Prefer Not to Answer
CELL PHONE NUMBER
Cell Phone Number
Over 50% of our residents are international students, what country are you from?
Street Address Line 2
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
The New Paltz Hostel has zero tolerance towards illegal drugs and is in a ************** DRUG FREE SCHOOL ZONE ******************** Drug-Free living environment. The New Paltz Hostel is strongly committed to providing a safe, healthy, and productive living environment for all students. The Hostel recognizes that drug abuse affects our society at all economic levels and ages. Drug abuse in the Hostel creates obvious problems. Students who take drugs are less productive, are absent more frequently, are more likely to be involved in accidents, and tend to have negative encounters with other residents. Drug abuse causes other serious problems: it increases health care costs, takes extra supervisor and managerial time, increases incidents of criminal activity, and has an adverse effect on our public image. Drug Abuse Policy Possession, sale, non-prescriptive use, distribution, dispensation, manufacture, or transfer of any controlled substance is prohibited. Controlled substances can include heroin, codeine, morphine, cocaine, "crack" or other cocaine derivative, amphetamines, barbiturates, LSD, marijuana, or mescaline. Violation of this policy will result in disciplinary action, which may include immediate termination of lease. Where appropriate, the violator may face arrest and criminal prosecution.
I understand the Drug-Free requirement and I will not violate this policy
I am aware that there is a "NO" Smoking Policy within the New Paltz Hostel and smoking is only permitted on the porch.
I smoke and or Vape and understand this policy
I don't smoke or vape anything at all and understand this policy
I am aware that there is a no alcohol policy @ the Hostel, and smoking is only permitted on the porch.
i agree not to violate this policy
Have you ever applied for housing or work at the New Paltz Hostel before? If so when?
How did you find out about New Paltz Hostel Student Housing? Referred by anyone? if so who
Room type Requested check off multiple if needed
private $800 per month - 12 month commitment
private $900 per month - month to month minimum 3 months
shared $580 per month - 12 month commitment
shared $620 per month - month to month minimum 3 months
I understand if my application is accepted I will have to submit a $350 deposit to hold the room. It will be applied to my security deposit when I move in. The $350 is non refundable if I cancel.
Housing time frame Applied For
Move in August 21st 2022 after 4pm move out August 21st 2023 by 10am move dates are flexible by a couple of days
special dates enter info below
if needed - special request move in date after 4pm
if needed - special request move out date by 10am
If I break any of the rules or do not pay rent on time @ the New Paltz Hostel, I understand I will need to move out immediately.
I understand that I need to pay a months room security deposit, that I will receive back after the room, refrigerator, and cabinet is vacated, cleaned and left in the same condition I moved in.
Where are you living now? Be very specific.
Please include current landlord and phone and address
How much are you paying rent?
Why are you moving?
Who is going to be legally responsible for your monthly rental payments and the lease?
What is the source of income to pay the rent each month? Please be detailed.
Why do you want to move to the Hostel?
Education: please check all that apply.
G E D
Are you attending SUNY New Paltz?
When will you graduate or transfer from SUNY New Paltz?
Special Courses, Training, Experience, and/or Skills you may have.
Employment History: LIST PRESENT OR MOST RECENT FIRST!
Name and address of employer #1.
Starting pay rate
Ending pay rate
Date departed or leave blank if still working there
Position held and duties performed
Reason for leaving
We do Nationwide criminal background checks. Please document anything that may be revealed and please explain.
State any additional information you feel may be helpful to us in considering your application.
I understand that if a nationwide background check reveals anything not disclosed above my application will be automatically disqualified.
I understand this is a shared environment. No animals or Pets of any kind are allowed in or around the Hostel
Guests are allowed in the Hostel but must leave by 10:00PM & 1 overnight guest is permitted per month for free, each additional overnight guest would be $30 per night (Staff must be notified of all overnight guests.
Emergency contact (example: parent or guardian).
During your stay at the Hostel how will you be spending your time?
going to school
By typing my name below I give permission to verify all information and I certify that the information provided above is true and correct. I authorize a nationwide background and credit check. My rent payment history will be reported to NTN
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