Harrington Housing

First name *

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Last name *

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Email *

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Date of birth *

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Phone *

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WhatsApp (If different from above)

Permanent Home Address *

Move-in date *

Please enter a move-in date.

Move-out date

Approx. duration of the stay (If move-out date is not certain)

Gender * (We are co-ed living)

Male

Female

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Occupation *

Student

Intern & co-op

Young professional

Affiliated school or company

Are you a smoker? *

Yes

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Languages you speak

Languages you learn

How did you hear about us?

Reference code (If you have any)

Other comments

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