Landlord Application Form Name* First Last Contact Mailing Address and Postal Code:*Address of Accomodation:*Telephone Numbers:* Email* Type of Accommodation:* Room Rental Apartment Rental House Rental Type of Accommodation:Cost - per month:* FEATURES: Please check those that apply. laundry facilities cable furnished unfurnished dishwasher walking distance to college driving distance to college parking private bathroom air conditioning heat included hydro included private entrance on bus route non-smoker internet connection Other/Comments:**Please note: this listing will be added to the housing directory on our college website: www.algonquincollege.com/pembroke Once your accommodation has been rented, please email or call me and I will indicate that on our list. If you have any questions, please contact Sandy Niemczak at niemczs@algonquincollege.com or call 613-735-4700, ext. 2877 Algonquin College provides this information as a service to its students but takes no responsibility for the student or landlord's decision to enter into a rental/boarding arrangement. The College does not pre-screen the landlord's nor the students' suitability as a landlord/tenant. By checking the following box, you agree to and understand that this listing will be posted on the Algonquin College website and that rental agreements are strictly between the landlord and student. * I understand that this listing will be posted on the Algonquin College website, and that rental agreements are strictly between the landlord and student.* I Agree **Please note: Please notify Sandy Niemczak, niemczs@algonquincollege.com when accommodations are rented PhoneThis field is for validation purposes and should be left unchanged. Δ