This survey will help the CPOS staff in their search for housing for you.
Please complete it as best you can. Do NOT complete if you are not an invited, international CPOS visitor.

Personal Information

First name

Last name

Phone

E-mail

Do you smoke?

I/we don't smoke I/we smoke I/we smoke but only outdoors

Gender:

Male Female

How many people will live with you?

Relation to you and ages of children)

Are you bringing any pets with you? (Most rentals do not allow pets)

No Yes

Housing Preferences

Preferred Location:

No Preference Within walking distance Within biking distance Within driving distance

Type of Housing Preferred:

Studio Apt. 1 bedroom Apt 2 bedroom Apt Small House Rent a room in a house No Preference

Monthly rent can be no higher than:

less than $700 $700-$799 $800-$899 $900-$999 $1000-$1099 No limit on rent

Date housing needed:

until:

Please add any comments on specific needs, if you have any:

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