AXIS28 APPLICATION FORM Please complete the following application to live at AXIS28 for the 2023/24 school year. Note that fields marked with an * are mandatory and must be completed for your application to be considered. APPLICANT INFORMATION First Name*First Name* Last Name*Last Name* Middle Name(s)Middle Name(s) Current address*Current address* ApartmentApartment City*City* Province* AlbertaBCManitobaOntarioNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutQuebecSaskatchewanYukon Province* Postal Code*Postal Code* email address*email address* Phone number*Phone number* Date of Birth*Date of Birth* Age at date of application*Age at date of application* Gender* FemaleMaleOther Gender* CO-APPLICANT INFORMATION If you not 18 years of age or older when you apply to move into the building you will require a co-applicant. Please complete the following fields for your co-applicant. Co-applicant first nameCo-applicant first name Co-applicant last nameCo-applicant last name Co-applicant middle name(s)Co-applicant middle name(s) Co-applicant street addressCo-applicant street address ApartmentApartment CityCity Province AlbertaBCManitobaOntarioNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutQuebecSaskatchewanYukon Province Postal CodePostal Code Co-applicant email addressCo-applicant email address Co-applicant phone numberPhone number EDUCATION INFORMATION Post secondary institution attending*Post secondary institution attending* Program of study*Program of study* Number of years left for you to complete program*Number of years left for you to complete program* APARTMENT PREFERENCES Do you have preferred roommates?* yes no If yes, please list preferred roommate(s) Preferred apartment size Doesn't matterTwo bedroom (one roommate)Three bedroom (two roommates)Four bedroom (three roommates) Preferred apartment size Move in date*Move in date* Length of lease required* School year (8 month)Full year (12 month) Length of lease required* Submit The form was sent successfully. We send a copy of the Application Form to your email. An error occured.