Apply Thank you for your interest in living at The Campus Village! To apply, please fill out the form below and submit. Fields marked with an (*) are required. We look forward to having you! First Name * Middle Name Last Name * Address * City * State * Zip * Phone * Fax Cell Phone Email * Date of Birth * Year Year1913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Sex MaleFemale List any special medical needs or concerns Enrollment Status - None -FreshmanSophomoreJuniorSeniorGraduateOther Apartment Selection - None - Efficiency Apartment - SOLD OUT!!! One Bedroom Apartment Two Bedroom Apartment - 801 sq.ft. Two Bedroom Apartment - 919 sq.ft. Three Bedroom Apartment Four Bedroom Apartment Four Bedroom Townhome Five Bedroom Apartment Furnish Option - None -Yes, please furnish my unitNo, I would like to keep my unit unfurnished 9 Month Lease Option - None -Yes, I would like a 9 month leaseNo, I want a 12 month lease Campus Village offers a 9 month lease option for a $100 premium per month. Would you like a 9 month lease? Emergency Contact Name * Relationship * Phone Number * CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. Math question * 2 + 0 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.