Short Stay Visitor Residence Application

Name

First NameLast Name

Pronouns

Preferred name to be called

Phone Number

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

Email

Your best email for AST to communicate with you.

Staying at AST

Purpose of my visit?Affiliation to AST?

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

Permanent Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Some things to note about me (special needs, health-care status, allergies, etc.)

EMERGENCY CONTACT INFORMATION

Name

First NameLast Name

Relationship to you

Phone Number

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

Email

example@example.com

This form is for one-time authorizations only; credit card data is not stored. For recurring payments, please choose one: (A) complete the One-Time Credit Card Authorization Form, (B) e-transfer to businessoffice@astheology.ns.ca, or (C) contact the Business Office (Tue–Thu mornings from 8 AM) at 902-478-7793 or businessoffice@astheology.ns.ca. Thank you. Please note: Your final room number may change due to updated accommodations. (Updated July 2026)

Payment Information

CADType your total amount for a one-time payment

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

Once charged to your account, these fees apply for the full agreement, and no credit or partial refunds will be issued for early move-out, non-use, or cancellation.

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.)

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

VECHILE INFORMATION

Type of Vehicle

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

Vehicle Make and ModelExterior Colour

Driver's LicensceCanadian Province

I understand that if my application is accepted, my daily 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, AST Residence Handbook, and AST Sexual Violence Policy on the AST website and agree to abide by any standards and regulations specified there.

Date* Time* Location*

⚠️ Important Lifestyle & Building Disclosures

Before completing this application, please ensure you have read "Resident Rights & Responsibilities" by clicking here to read the document. By submitting this application, you explicitly acknowledge that you understand and accept the following structural and operational realities of AST Residence:

Physical Infrastructure: The AST Residence Building is a historic, multi-storey heritage structure featuring stair-only access with absolute-zero elevator access. Residents are entirely responsible for managing their own mobility and luggage up multiple flights of stairs.

Room Fluidity: Your final room assignment may be changed by the administration up to the day of your arrival to accommodate collective community health, medical, and accessibility needs.

The Women’s Wing: The Women’s Wing rooms, washrooms, and kitchen are strictly reserved for individuals who identify as women; guests of any other gender identity (including family and friends) are completely prohibited from entering these spaces.

Strict Scent-Reduced & Smoke-Free Campus: The entire campus is 100% smoke-free and vape-free (including all private bedrooms and outdoor grounds). Violations carry a mandatory $250.00 fine per incident and zero-warning eviction thresholds for serious misconduct.

If any of these environmental, structural, or community rules conflict with your lifestyle or personal comfort, we respectfully suggest exploring alternate housing arrangements before submitting this form.

Short Stay Visitor Residence Application

Payment Information*

Payment Information