Apply

If you have looked through our website and feel that you are a match with our home, and would like to be one of the early lucky 20 students to live with us, please apply here.

Application to Live at Regent House
Please provide the following information:

* Indicates required field

Name *

First

Last

Email (please make sure it's absolutely correct otherwise we cannot get a hold of you) *

Phone Number *

Gender *

Male Female

Date of Birth (mm/dd/yyyy) *

Where are you from? *

What is your major? What year are you in? Undergraduate or Graduate student? *

Tell us a bit about yourself. What do you like to do outside of school? What are your hobbies or interests? What type of work do you want to do after graduating? Etc *

What period are you looking to live with us and able to pay for? *

Summer (June 1 to August 15th) Summer and School Year (June 1st or after to May 31, 2021) School Year (August 1 to May 31) Fall (August 1 to December 31) Spring (January 1 to May 31) School Year (August 16th to May 31st) Summer (June 1 to July 31)

If you are looking to stay for a time period not specified above, please indicate your preferred start and end dates. *

If your preference is not available, are you willing to take any availability? *

Yes No

Are you receiving financial support from your family? *

Yes No, I am financially independent.

If you are receiving financial aid from your family, please indicate your co-signer's name *

First

Last

If you are financially independent, what is the source of your funding that you will us to pay for living with us at Regent House? Financial Aid, grants, jobs, money in the bank? Please give details. *

Are you a smoker or vapor? (We are a non-smoking non-viping home) *

UC Berkeley might require a covid vaccine to attend. We prefer that too for our residents for everyone's safety. Are you or will you get vaccinated? *

Yes I am vaccinated now. I will be vaccinated by arrival at Regent House and Start of Fall Semester I am absolutely willing to get vaccinated. I am willing to get vaccinated if required. I prefer not to get vaccinated. I will definitely not get vaccinated.

Regent House’s terms of residency include being considerate and respectful behavior at all times, keeping common areas clean, do your dishes and keep your doings in the kitchen clean for others, being quiet so others can sleep, no sexist or racist language, no intoxication, no illegal activity, and similar policies. Do you agree? *

Yes, I agree to be considerate and respectful of my fellow housemates, want to live in this kind of environment, will do my part to create our living environment, have read the policies page of this website, and will adhere to the terms of residence. No, I might not be able to keep to these policies.

Regent House can introduce you wonderful roommate(s). But if you are looking to share with someone in particular, we'd really like to make that happen for you. Please indicate their name(s) here. *

Have questions? Please ask us here. If you would like to add something, please do so here. *

What is your height (for correct bed considerations) *

Emergency Contact Information: Please provide the name(s), relationship(s), and email address(es) of the people to contact on the very off chance that we need to be in touch with them. *

How did you learn about Regent House? *

If you selected "Other" above, please state how you learned about us. Thank you. *

APPLY

Application to Live at Regent HousePlease provide the following information:

Application to Live at Regent House
Please provide the following information: