HOUSING APPLICATION
East Campus:
NYP Real Estate, 435 E. 70th Street, 1st fl., New York, NY 10021 212.746.9096 (fax: 212.746.8533)
West Campus:
NYP Real Estate, 600 W. 165th Street, 1st fl., New York, NY 10032 212.305.2014 (fax: 212.781.0369)
How did you learn about NYP Housing?*
Human Resources
Infonet
Resident Referral
Dept. Referral
Video
RE Website
RE Posters
NYP Press
Other
Personal Data:
Name*
Email Address*
Address
Home Phone Number
Cell Phone Number
Fax Number
Employment Data:
Employee Number
Employment Date
Work Email Address
Position
If House Staff, list PGY
Status
Full Time
Part Time
Employer
NYP-East Campus
NYP-West Campus
Columbia University
Cornell University
Employment Verification
New Hire Offer Letter
Hospital Identification Card
Payroll Statement
Department
Chairman/Supervisor
NYP Phone Number
Beeper Number
Apartment to be shared with:*
No One
Spouse
Children
How many?
Other (Specify Relationship)
Application for:*
Studio
One Bedroom
Two Bedroom
Three Bedroom
Four Bedroom
Dormitory
Campus, Apartment Preferences and Comments
Preferred Move In Date
Which Campus?
East Campus
West Campus
Building/Apartment Preference 1
Building/Apartment Preference 2
Other Comments
I CERTIFY THAT ALL OF THE INFORMATION IS TRUE AND COMPLETE. THIS APPLICATION MUST BE UPDATED ANNUALLY. FAILURE ON MY PART TO DO SO WILL RESULT IN REMOVAL OF MY APPLICATION FROM THE WAIT LIST. I UNDERSTAND THAT, IF AFTER VIEWING AND DECLINING AVAILABLE APARTMENT(S), I WISH TO REMAIN ON THE WAIT LIST, MY NAME WILL BE MOVED TO THE BOTTOM OF THE WAIT LIST. ALL RESIDENTS REQUESTING A TRANSFER TO ANOTHER UNIT MUST RESIDE IN NYPH HOUSING FOR AT LEAST ONE YEAR (EXCEPTION: A CHANGE IN THE RESIDENT’S FAMILY SIZE). ALL RESIDENTS REQUESTING A TRANSFER WILL BE ASSESSED A $350 ADMINISTRATIVE TRANSFER FEE ($500 FOR TRANSFERS OUT OFF COLEMAN TOWER) PAYABLE BY CHECK AT TIME OF TRANSFER.
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