Fanshawe Residence Application

For International Students (September - April)

STUDENT INFORMATION

Name of student:___________________________________________________ o Male o Female

Student Number: __________________________ Date of Birth: (dd/mm/yyyy)__________________

Address:_________________________________ City:___________________________________

Province/State: ___________________________ Country:________________________________

First Language: ___________________________ Country of Citizenship: ____________________

Personal Email Address of student: __________________________________________________

PROGRAM (please specify the program to which you are applying)

Name of program:_____________________________________ Campus: ___________________

Program Start Date: o September o January or other date(s):____________________________

Expected Arrival Date: (dd/mm/yyyy)________________________ Flight#:____________________

o Visa Approved o Visa in Process o Have not yet applied for Visa

APPLICATION FEE

Please indicate which type of accommodation you would like to apply for:

o $100.00 – Non-refundable Residence Townhouse application fee

o $100.00 – Non-refundable Residence Apartment (Traditional) application fee

Please do not make payment of $100.00 until you have received your Residence offer.

PERSONALITY PROFILE

Do you have any allergies? (Food, medicine, pets...)_____________________________________

I smoke: o never o occasionally o regularly
I eat: o anything o vegetarian/vegan o no pork

I have special dietary restrictions (explain):____________________________________________

I socialize/party: o not often o sometime o often

I like music/TV: o a little o sometime o very much
I go to bed: o early o varies o late
I like sports: o to play o to watch o never

Fanshawe Residence Application for International Students (September 2021- April 2022) 21F – 22W 03/2021
 Fanshawe Residence Application
For International Students (September - April)

What hobbies and interests do you have?_____________________________________________

_______________________________________________________________________________
How could your friends describe you?________________________________________________
_______________________________________________________________________________

SUBMISSION DETAILS:

All Residence (Traditional and Townhouse):

To apply for the residence, there will be $100.00 Canadian non-refundable fee required at
time of Residence acceptance offer.
Please note that by submitting the application for residence, you are agreeing to enter an
EIGHT-MONTH agreement (September to April) with the residence January start students are
committed to FOUR-MONTH agreement (January to April).

o Traditional Residence Rooms $9200.00

(4-bedroom, 2-bedroom) (Includes mandatory $1200.00 meal plan)

$7500.00
o Townhouse Unit – standard bedrooms* (no meal plan included)
(5 bedrooms per unit)
$7200.00
o Townhouse Units – smaller bedroom* (no meal plan included)
(Only 1 bedroom available per unit)

*There is no option to request standard or small bedrooms, it is based on the roommate matching process.

Student’s Signature:___________________________ Date submitted: ___________________

By signing this application, I certify that I do not currently have, nor ever have had a criminal record.
Furthermore, I have seen this form and confirm that all information is true.
Please note these rates are subject to change. Visit the residence website for rates and other details.

Please return the application to:

fanshawecares@fanshawec.ca. or Fax: 1-519-659-9393.

Fanshawe Residence Application for International Students (September 2021 - April 2022) 21F– 22W 03/2021