Off Campus Student Housing Form

Please fill out the form below. If you have questions please contact the Office of Student Life, Campus Center 208, COCC Bend Campus, 541-383-7590.

General Information:

Available Date:    Tuesday, January 29, 2013 Select a Date Delete the Date

Contact Name:

Rental Address:

City:

State:

Zip:

Phone #1:

Phone#2:

Email Address:

Type of Unit Offered:

Unit is:

       

Bathroom is:

      


 Furnishings:

      

Monthly Rent: $

Deposit: $

Amount Refundable: $

Pets:

       

Smoking:

       

Gender Preference:

       

Utilities:

       

Miles from College: miles.

Additional Information

Laundry:

       

Storage:

       

Work Exchange:

       

Handicap Access:

       

Available Parking

        

Special Features:
   

By checking this box, I am verifying that the information included here is true and accurate. Furthermore, I understand that the information provided will be posted on COCC's web site.

 

Office of Student Life
Central Oregon Community College
Campus Center 208
2600 NW College Way
Bend, OR 97701
541-383-7590