2027 Summer Non-AST and AST Student Currently Living in Residence Application

3 STEPS TO SECURE YOUR ROOM

1. Please review, sign, and submit the Welcome Waiver Package as part of your residence application.

We encourage you to visit our residence and discover whether it's the right home away from home for you. Schedule a tour with one of our Student Dons or the Residence Manager to experience our welcoming community and explore the residence firsthand.

Nestled along a peaceful Halifax shoreline, our residence offers a unique setting for study, reflection, fellowship, and community life. As an ecumenical university residence, we welcome people of all faiths and no faith who value respect, hospitality, shared responsibility, and living in a supportive community where everyone is treated with dignity and care.

2. Complete and submit this application

3. Once you receive an email with your room number, secure your room by submitting your security deposit and residence fee asap.

Name

First NameLast Name

Pronouns

Preferred name to be called

Academic Institution

Name of Academic InstitutionStudent ID Number

Studying

Program of StudyYear of Study

Residence Move-In Date

Date

Residence Move-Out Date

Date

Date/Time of Arrival

If unknown, please email closer to your date of arrival. residence@astheology.ns.ca

To verify your ongoing enrollment without registrar fees, please upload one of these free options from your student portal: a screenshot clearly displays your name, school name/logo, current term dates, enrolled courses, and enrollment status (e.g., full-time) Options: - Student Portal screenshot - Unofficial Transcript - Term account summary or payment receipt During your residence stay, you may be required to periodically submit an updated letter via email to verify your active student status and ongoing enrollment. You may be asked to provide a Confirmation of Enrollment Letter. Students pay for any Registrar's Office charges.

Permanent Mailing Address

Room # - Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YOUR PERSONAL INFORMATION
(International students are required to have a local mobile # and notify the Residence Manager as soon as it’s received.)

Phone Number

Your best phone # for AST to communicate with youFormat: (000) 000-0000.

Email

Your best email for AST to communicate with you.

Date of Birth

Date

Some things you should know about me. (special needs, health-care status, allergies, etc.)

EMERGENCY CONTACT INFORMATION

Details about your emergency contact

Relationship to YouEmail Address

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

FLOOR ASSIGNMENT REQUEST – Select your preferred floor. Keep in mind that the gender neutral washroom and shower, and the laundry, are located in the above-ground basement. The residence building is accessible by staircase only, as the elevator is currently out of service.

ROOM REQUEST – Select your preferred washroom (No rooms close to the gender neutral bathroom.)

STUDENT SEXUAL VIOLENCE AWARENESS PREVENTION PROGRAM (all students)
AST, together with other universities in Nova Scotia, participates in a program to educate students about sexual violence awareness. Each new resident is required to attend the one-hour SVAP training shortly after arrival. Sessions are typically offered in September, January, June, and July. Note: to be completed every 12 months. Now there's a 15-minute refresher presentation. This is a mandatory session. The refresher session is to be completed every 12 months.

Need a vehicle parking permit pass? Residence room rental fee and parking pass fee are non-refundable and are not prorated. Once charged, these fees apply for the full term, and no credit or partial refunds will be issued for early move-out, non-use, or cancellation.

Payment Information

CADDescription

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

VEHICLE INFORMATION

Type of Vehicle

(car, truck, motorcycle)Plug-in hybrid (PHEV) extra $25/month. Fully electric vehicle (EV) extra $50/month.

Make and ModelExterior Colour

Canadian ProvinceDriver's Licence Number

I understand that if my application is accepted, my monthly room rate and my agreement with AST will be in effect for the entire period noted on this form. I understand that should I decide to leave before the end of that period, I will be responsible for payment of the full rent period. I have read the AST Residence Policy Document, Resident Handbook, and AST Sexual Violence Policy on the AST website and agree to abide by any standards and regulations specified there.

Date* Time* Location*

2027 Summer Non-AST & AST Student Currently Living in Residence Application

Payment Information*

Payment Information