1. Stanford ID #: 2. Gender: Male Female

3. Name: 4. Date of Birth:

Last (Family) First Middle Month/Day/Year

5. Academic Term: I am applying for Single Graduate Student housing beginning:

(1192) Autumn Quarter 2018-19

(1194) Winter Quarter 2018-19

(1196) Spring Quarter 2018-19

6. Student Status:

(GN) First Year Graduate Student (US) Undergraduate Student

(GC) Continuing Graduate Student (NM) Nonmatriculated Student/Postdoctoral Scholar

(GT)CoterminalStudentapplyingforGraduateHousingforthefirsttime

7. Department: Business Engineering Law Medicine Other:

8. Special Program: (S) MSx

9. Autumn Quarter Move-in Date: If applying for housing beginning Autumn Quarter, indicate your move-in date. (Housing charges will be prorated to your contract start date or move-in date, whichever is earlier.)

(NA) Not applicable Students living in University housing during both Summer 2018 and Autumn 2018-19

(M1) August 23, 2018 Pre-clinical MD only

(L1) August 24, 2018 Second and third year law students only

(L2) August 27, 2018 First year law students only

(A1) August 31, 2018 All students - optional

(A2) September 7, 2018 All students - optional

(G1) September 12, 2018 GSB Residences only

(A3) September 14, 2018 All students - General Opening

10. Group Information: Group name and password cannot be the same, and each must be 5 - 8 characters long. Each must contain at least one alpha and one numeric character. Symbols are not allowed.

Group Name: Group Password:

List Group Members (up to three):

1.

2.

3.

11. Group Retention: I would rather be assigned to housing lower on my list of choices than be split from my group. Group retention will not work if your group contains both new and continuing students.

No Yes If yes, through which choice?

2018-19 Single Graduate Student Housing Application

12. Residence Choices

Apply for the residence options you prefer, in the order you want them. Descriptions and pictures are available on the Student Housing website.

Stanford has secured off-campus leases at a number of apartment complexes in Menlo Park, Mountain View, Palo Alto, and Redwood City to help meet the demand for housing. These subsidized off-campus apartments will be offered along with the on-campus options. These units are furnished and include utilities. These apartmentswereleasedtohelpmeetthedemandfromguaranteedfirst-yearstudents.Visitourwebsiteformoredetaileddescriptions,pricesandpictures.

TheRatecolumnreflectstherentrateforeachstudentandresidenceoption,whichincludesbasicutilities-water,heat,electricity,garbageandsewer.Additionalfees apply for early arrival, late departure, house dues, and technology fee.

Some residence choices offer “autumn only” or “academic year only” contract lengths. Students who are assigned to those buildings are required to move at the end of these terms and cannot renew into those locations for the subsequent year. If you prefer to stay in the same apartment throughout this academic year or for the 2019-20 year, you should select residence choices that are open all year. Students who are assigned to autumn only locations/contracts will receive priority for assignment on the winter waiting list.

ON CAMPUSOPEN YEAR ROUND Monthly rateEscondido South per student

673 Escondido South, 3 BR/1 BA triple occ. $1076Escondido Village

522 EscondidoVillage,2BR/1BAdoubleefficiency $886502 Escondido Village, 2 BR/1 BA double occ. $1234520 Escondido Village, 2 BR/2 BA double occ., Kennedy $1518503 Escondido Village, 3 BR/1 BA triple occ. $1076523 Escondido Village, junior studios/2 BA with shared kitchen, Kennedy $1145518 Escondido Village, standard studio/1 BA $1552

Lyman Graduate Residences013 Lyman, 2 BR/1 BA double occ. $1234

Munger Graduate Residences372 Munger, 2 BR/2 BA double occ. $1683374 Munger, 4 BR/4.5 BA quad occ. $1664378 Munger, standard studio/1 BA $1963

Rains Houses662 Rains Houses, 2 BR/1 BA double occ. $1234664 Rains Houses, 4 BR/2 BA quad occ. $1228

ACADEMIC YEAR ONLY (Summer Quarter not included)GSB Residences – Single Graduate

GSB Residences, Highland Hall junior studios/2 BA with shared kitchen $1935 GSB Residences, Schwab Residential Center junior studios/2 BA with shared kitchen $1885

Munger Graduate Residences382 Munger, 2 BR/2 BA double occ. (academic year) $1683384 Munger, 4 BR/4.5 BA quad occ. (academic year) $1664380 Munger, premium studio/1 BA (academic year) $2104388 Munger, standard studio/1 BA (academic year) $1963

AUTUMN QUARTER ONLYEscondido South

675 Escondido South, 2 BR/1 BA double occ. (autumn only) $1234Escondido Village

521 Escondido Village, 2 BR/1 BA double occ. (autumn only) $1234531 Escondido Village, 3 BR/1 BA triple occ. (autumn only) $1076

Mirrielees House218 Mirrielees, 2 BR double occ. apt (autumn only) $886219 Mirrielees, 3 BR triple occ. apt (autumn only) $886

036072

OFF CAMPUSOPEN YEAR ROUND Monthly rateMenlo Park per student

140 729 Roble, 2 BR/1 or 2 BA double occ. $1234622 825 Menlo, 2 BR/1 BA double occ. $1234623 825 Menlo, 3 BR/1 or 2 BA triple occ. $1234105 Laurel Grove, 2 BR/2 BA double occ. $1234106 Laurel Grove, 3 BR/2 BA triple occ. $1234107 Menlo Park West, 2 BR/2 BA double occ. $1234108 Middle Park, 2 BR/1 BA double occ. $1234109 Middle Park, 3 BR/2 BA triple occ. $1234236 Noel Oaks, 2 BR/1 BA double occ. $1234237 Noel Oaks, 3 BR/2 BA triple occ. $1234126 Sand Hill Place, 2 BR/1 or 2 BA double occ. $1234153 Seven Oaks, 2 BR/1 or 2 BA double occ. $1234154 Seven Oaks, 3 BR/2 BA triple occ. $1234127 Sharon Grove, 2 BR/2 BA double occ. $1234128 Sharon Grove, 3 BR/2 BA triple occ. $1234

Mountain View278 Carmel The Village, 2 BR/2 BA double occ. $1234139 Domus, 2 BR/2 BA double occ. $1234

Palo Alto221 Arastradero West, 2 BR/2 BA double occ. $1234222 Arastradero West, 3 BR/2 BA triple occ. $1234129 Boardwalk Park Place, 2 BR/1 BA double occ. $1234244 Hawthorne, 2 BR/1 or 2 BA double occ. $1234158 Merrilee Terrace, 2 BR/1 or 2 BA double occ. $1234159 Merrilee Terrace, 3 BR/2 BA triple occ. $1234624 Midfield,2BR/1BAdoubleocc. $1234276 Montage, 2 BR/2 BA double occ. $1234566 Oak Creek, 2 BR/1 BA double occ. $1234133 Oak Creek, 2 BR/1 BA triple occ. $832272 Oak Creek, 2 BR/2 BA double occ. $1518134 Oak Creek, 2 BR/2 BA triple occ. $1012206 Southwood, 2 BR/2 BA double occ. $1234163 Stanford Villa, 2 BR/2 BA double occ. $1234185 Tan Plaza Continental, 2 BR/1 or 2 BA double occ. $1234143 Tan Plaza Continental, 3 BR/2 BA triple occ. $1234142 Wellsbury, 2 BR/1 BA double occ. $1234

Redwood City135 Locale Apartments, 2 BR/1 or 2 BA double occ. $1234

Sublicensing is not available in any of the off-campus apartments

Final Choice: Offcampusresidencesareincludedinthelocationsassignedthroughthefinalchoice“Iamwillingtoacceptanyotherassignment.”However,duetothehigherrates,MungerandtheGSBResidenceswillnotbeautomaticallyassignedthroughthisfinalchoice.Youmustspecificallylisttheseoptionsifyouareinterestedinassignmentthere.Guaranteedstudents,whomustselectthisfinalchoice,arenotrequiredtoadditionallylistthesechoicesinordertomaintain their guarantee.

If you cannot be assigned to one of the residences selected above, what is your preference?

(100) Assign me only to the residences I have listed above.

(006) Assign me to any residence for which I am eligible.

16. Roommate Preference Information: To assist your Housing Front Desk in making roommate assignments, please answer each question by circling the ranking numbers below. If you have personal considerations not referenced below that will help in assigning a roommate, please note them in the “Optional Comments”section.Effortswillbemadetomatchroommateswithsimilarpreferences.Pleasefilloutthisinformationevenifyoumaynothavearoommate.(This information may be used to place you in a particular hallway or neighborhood.)

I consider myself... Very Neat 1 2 3 4 5 Very Messy

I prefer the background noise in my room/apartment to be... Very Quiet 1 2 3 4 5 Very Loud

I tend to have overnight guests... Never 1 2 3 4 5 Often

I tend to go to bed... Before or at 11 PM 1 2 3 4 5 11 PM or later

I tend to wake up... Before or at 8 AM 1 2 3 4 5 8 AM or later

I prefer to live with a...(Remember smoking is prohibited in and around residences.) Smoker 1 2 3 4 5 Non Smoker

I am kosher. Yes No

I am vegetarian or vegan. Yes No

Optional Comments:Ifyouhaveotherimportantinformationaboutyourself(e.g.,yourreligion,culture,language,sexualorientation,etc.)thatwemayfindhelpful in placing you with a roommate, please note it here. This information is only used after residence assignments are made. If you need special consider-ationforadisabilityormedicalneed,pleasefileanapplicationwiththeOfficeofAccessibleEducation(http://oaeconnect.stanford.edu).

Signature: I certify that the above information is true. I have read carefully the graduate housing information and application instructions. By submitting this application I agree to the conditions of assignment as outlined in the 2018-19 graduate housing information web pages, including the Residence Agreement. I understand that I will be charged $100 to $450 if I cancel my assignment, depending on the date I notify Housing Assignments.

Signature Date

Permanent E-mail Permanent Phone

Please return this form to: Housing Assignments.Fax to 650-736-1297 or email: studenthousing@stanford.edu