Nyack Application Form

Columbia University Office of Institutional Real Estate Housing Application for Nyack Properties
Title Name
Home Telephone
e-mail address	Address
City	State
Zip	Tel. Ext.
Social Security	Cu dept
Univ. Title of Applicant
Sponsor
Appointment Begin Date
Appointment End Date
Preferred Move-In-Date
Preferred Lease Term
Will spouse/partner be residing with you? Yes/No
Children? Yes/No Ages?
Desired type of accommodation: One bedroom $1,277.00 per month Two Bedrooms $1,681.00 per month
Please use the following text box for comments that may help us in anticipating your housing needs.
* Prices subject to change **Please note: IRE leases for the Nyack properties are offered for the duration of the appointment, not to exceed a one-year lease term. Application for an extension lease may be made to the Lamont-Doherty Administration Office. All extensions are subject to approval by Columbia University Institutional Real Estate.