2026 Summer Distance AST Student 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 making full payment before your summer term starts.

Name

First NameLast Name

Pronouns

Preferred name to be called

Academic Institution

Student ID Number

Program of Study

Program Enrolled inYear of Study

Residence Start Date

Date

Residence End Date

Date

Date/Time of Arrival

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

ACADEMIC VERIFICATION To verify your ongoing enrollment, please upload one (1) of the 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 ADDITIONAL ACADEMIC VERIFICATION STATUS During your residence stay, you may be required to periodically submit an updated document 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.

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

Birth Date

MonthDayYear

Email Address

Your best email for AST to communicate with you.

Phone Number

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

Current Permanent Mailing Address

Street Address

Street Address Line 2

CityState / Province and Country

Postal Code / Zip Code

Some things we should be aware of (special needs, health-care status, allergies, etc.)

EMERGENCY CONTACT INFORMATION

Name

First/Last NameRelationship to You

Phone NumberEmail Address

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.

RESIDENCE LIVING Following move-in, rent is collected on the first of every month. Residence room rental fee is non-refundable and is not prorated. Once charged to your account, these fees apply for the full term of this agreement, and no credit or partial refunds will be issued for early move-out, non-use, or cancellation. There will be no credit for shortened stays. Any additional nights will be billed at $51/night. Students who are attending only one or two summer intensive courses will be billed at the usual short term stay rate. Check the statements below to confirm your understanding.

FLOOR ASSIGNMENT REQUEST – Select your preferred floor. Keep in mind that the one gender neutral washroom and shower is located in the above-ground basement.

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

CREDIT CARD INFORMATION

Select which option(s) below you prefer.

Monthly Rate

AST Summer Distance Program 6-week term. (This fee will cover stays for AST Students only, who will be in residence from June 13 – July 25 in either a large or standard single room.)

$1,500.00 CAD Quantity

Daily Rate

AST Summer Distance Program 6-week term

$51.00 CAD Quantity

Parking Pass

AST Summer Distance Program 6-week term parking pass (mid-June to late July)

$141.00 CAD Quantity

Total

Residence Payment
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 & ModelExterior Colour

Driver's License

Driver's License NumbersCanadian Province

Signature

Driver's Licence

Canadian ProvinceDriver's License Number

Signature Details

I understand that if my application is accepted, my 6-weeks or nightly 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 Residence Policies and General Information, (1) AST Residence Policy Document, (2) Resident Handbook, and (3) AST Sexual Violence Policy on the AST website and agree to abide by any standards and regulations specified there.

Summer Distance AST Student Residence Application

Select which option(s) below you prefer.*

Select which option(s) below you prefer.