Application Form

Apply for housing near UC Merced

Complete this form to start screening and tour coordination. Use accurate information so we can process your application quickly.

Have all details ready before submitting: preferred move-in date, your school status, emergency contact, and co-signer information.

1) Housing Details

Desired Move-In Date *

Preferred Room Type *

First Name *

Middle Name

Last Name *

Date of Birth *

Phone Number *

Email Address *

Current Address *

School *

Student Status *

Major / Program

Employment Status

Co-Signer Full Name *

Co-Signer Email *

Co-Signer Phone *

Relationship to Applicant *

Emergency Contact Name *

Emergency Contact Phone *

Anything else we should know?

I certify that the information provided is accurate and complete. I understand this application is part of the tenant screening process. *

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