Apply for Residency

General Information

Houses interested in:: * houses

Which house(s) are you applying for membership in?

Membership Term:: *

NOW

2012-2013

First Name:: *

Last Name:: *

Date of birth:: *

E-mail address:: *

Permanent address

Permanent street address: *

City: *

State: *

Zip: * (5 digits only)

Current address

Current street address: *

Current city: *

Current state: *

Current Zip: * (5 digits only)

Phone: *

Requirements

The following questions are intended to educate you about what life will be like in a co-op, and for us to get to know a little about you. Please answer as honestly and openly as you can. Living in a co-op is not like living in a dorm or regular apartment. You will be part of a community, and will be held personally accountable for responsibilities that go along with that. These responsibilities include: 2–4 house meetings a month, 2–4 hours per week of house chores, plus one mandatory house work day per quarter; learning and abiding by all SHC policies; willingness to treat every member with respect and work to resolve conflicts peacefully.

Do you understand that these duties are a necessary part of house functioning and are non-negotiable for every member?: *

Yes

Did a current co-oper refer you? If so, what is their name?:

Leave blank if you do not know a current Co-Oper

Living in a cooperative is unlike living in an apartment complex, the dorms, or even a rental property; interpersonal relationships are very different, and the labor structure of the house and the SHC means that the dynamic of cooperative life is very different. You will be living with people of different genders, sexual orientations, religious and cultural backgrounds, and political opinions, and sometimes conflicts are unavoidable. Please think about the following questions carefully and give your honest answer.

Situational Questions

Question 1 (Replace current text with your answer): *

Question 2 (Replace current text with your answer): *

Question 3 (Replace current text with your answer): *

Question 4 (Replace current text with your answer): *

Question 5 (Replace current text with your answer): *

Emergency Contacts

First Contact

Name: *

Relationship: *

Phone number: *

Second Contact

Name: *

Relationship: *

Phone number: *

What will be your sources of income to pay your house charges? Please explain: *

Means of support (approximate)

Family: * %

Self: * %

Financial aid / loans: * %

School: *

MSU

LCC

Other (note below)

If other school, which?:

Enrollment status: *

Full-time

Part-time

Not currently enrolled

Major / program of study: *

Income & Expenses

Gross verifiable income (monthly)

Wages:

Income from parents:

Income from student loans:

Other income:

Total income: *

Estimated Expenses/Deductions (Monthly/Estimated for Time Living in Co-op)

Credit card payments:

Vehicle payments / insurance:

Loan payments:

Health care:

Food / living expenses:

Telephone bill:

Pet care:

Other expenses:

Total expenses: *

Total amount available (Income - Expenses): *

Payment Plan Option

If, between the 1st and the 10 th of the month (the tenth of the month being included), a member becomes aware of his or her inability to pay his or her balance in full, and no further outstanding debt aside from the month’s rent contributes to his or her balance, he or she may arrange to make a payment plan with the office. The payment may not be delayed by more than two weeks from the date of the arrangements and his or her bad debt must be paid in full by the end of the contract period.

Payment plans arranged by the office must be emailed to the house in full. This payment plan will come up for review at the house’s next full meeting. The payment plan must be explained by the Corporate Treasurer. Because the payment plan is considered legitimate and stands before the member’s house approves it, payment must be made on a regular basis from the day the plan is signed. Once the house reviews the member’s payment plan, they have the option to accept or veto it. Acceptance requres a unanimous vote at a house meeting that has a quorum, and all house members voting in the affirmative must sign the payment plan.

References

If you don’t have two employers and two landlords to list, please list others with whom you’ve had an adult relationship, such as a minister or rabbi, High School or University teachers, sport coaches, families for whom you babysat, organizations for which you volunteered, etc.—just to make sure that you indicate the nature of the relationship.

Employer 1

Business name:

Supervisor/Boss:

Street address:

City:

State:

Phone:

Start of employment:

End of employment:

Employer 2

Business name:

Supervisor/Boss:

Street address:

City:

State:

Phone:

Start of employment:

End of employment:

Landlord 1

Landlord name:

Leasing Company:

If applicable only - if an independent, be sure to enter Landlord name, above.

Street address:

City:

State:

Phone:

Start of lease:

End of lease:

Landlord 2

Landlord name:

Leasing Company:

If applicable only - if an independent, be sure to enter Landlord name, above.

Street address:

City:

State:

Phone:

Start of lease:

End of lease:

Permission & Signature

I, , give my express permission to release any and all information regarding my

employment/tenancy/relationship with any company or individual listed as a reference on my application for housing with the Student Housing Cooperative, Inc.

Who's online

Primary links

541 E. Grand River Avenue | (517) 355-8313 | memberservices@msu.coop