Apply for Residence - 2017/18 Application Form

      • Please complete the application form below to be considered for a room in our new residence community for the fall 2017 and spring 2018 terms. In order to meet the immediate need of housing for our students, offers of residence will be made on a first-come, first-serve basis.


        You must be enrolled as a full-time student (9 credits) at Capilano University at all times while living in the residence community. Students who do not plan to enroll in full-time studies in the Fall 2017 term will not be considered.

        If you have additional questions, please contact

        * denotes required fields. 

        General Information
        First name: *  
        Last name: *  
        Preferred name:  
        Gender: *  
        Student number: *  
        CapU email address: *  

        Communication will be sent only to official CapU email addresses.

        Home address: *  

        Please provide the address where you live when not studying at Capilano (distance from campus may be used to determine priority for Residence).

        Phone number:  
        Emergency Contact
        First name: *  
        Last name: *  
        Relationship to applicant:  
        Phone number: *  
        Student Information
        Year of study (for fall 2017): *  
        Student type: *  
        Academic program: *

        I confirm that I will be enrolled in full-time courses (9 credits or more) during the term(s) for which I am applying to live in residence.



            Aboriginal Students: Do you consider yourself to be a person of Aboriginal ancestry?

        If yes, please select one of the following:
        Nation (optional):  

        Residence Information
        Terms applying for: *   
        Priority may be given to students applying for the full academic year.
        Preferred room style: 
         Our single and apartment style rooms are now full for the 2017-18 academic year. Shared accommodation is available for September 1.

        If you have a special circumstance or need for a single room, let’s us know in the comment box below. We’ll do our best to accommodate you.
        Preferred community style: *   
        Double rooms are single-gendered.
        Winter holiday break:* I intend to stay in Residence during the holiday break (Dec. 16 to Jan. 2).

        You must notify us now in order to stay during the break. Additional fees apply.
         Please inform us of any special circumstances that may require you to live in a specific type of room or access additional accommodations in our residence community (i.e. accessibility needs, service animals, mental wellness, etc.). Please also share any dietary restrictions that may impact your use of the mandatory meal plan.
        Please note that we may be unable to accommodate all requests. Some accommodations may require registration with Capilano Accessibility Services.
        Roommate Information
         To assist us in pairing you with a suitable roommate, please answer the questions below.
         I prefer to go to bed around: *    
        I prefer to wake up around: *  
        I usually keep my room: *  
        I am a: *    
        I am someone who: *  
        Roommate Request
         If there is another applicant that you would prefer to have as your roommate, please type their name here. Please be advised that they must also enter your name on their application in order for you to be paired. Roommate requests cannot be guaranteed.