Application | 92Y Residence - The 92nd Street Y, New York

92NY Residence Application

Please be advised that the completed application is NOT a confirmation. Your application is not reviewed, and a room is not reserved for you until you have submitted the $250 administrative fee. Providing you meet our eligibility requirements, and we can accommodate your request for housing, we will send you a Room Reservation Agreement. Once we have sent the Room Reservation Agreement, the administration fee is non-refundable. If we are unable to accommodate your housing request, your administrative fee will be refunded. This fee is not applicable to rent.

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Downloads

Application [PDF]

Individuals: Rules and Regulations [PDF]

Groups: Rules/Regulations [PDF].

New Application * = required field

Basic Info

First Name *

Middle Initial

Last Name *

Mobile Phone *

Email *

Gender *

FemaleMale

*Please note: Each floor is gender specific. Indicate your identifying gender floor preference

Date Of Birth (mm/dd/yyyy)*

How Did You Hear About Us? *

Permanent Address *

City *

State *

Postal Code *

Country *

Most Recent School History

School *

Degree *

Years Attended *

Phone *

City *

What you will be doing while you reside in New York?

Please provide specific contact information in New York for verification

School/Internship/Job *

Program/Title *

Program Duration *

Supervisor *

Phone *

In Case of Emergency Notify

Name *

Relationship *

Address *

City, State/Country *

Telephone *

Room Preference

Drag the room types you are interested in from the list of available rooms to the list of preferred rooms in the order you prefer.
Leave any room types you do not want to be considered for in the available rooms list. *

Available Rooms

Small Double Room with 1 closet
Regular Double Room
Single Room
Large Single Room

Preferred Rooms

Is there anything else you would like to tell us about yourself that would allow us to best place you in our communal residence facility?

Length of Stay

Arrival (mm/dd/yyyy)*

Departure (mm/dd/yyyy)*

Tell us about yourself. Why do you want to live at 92NY Residence? *

Promo Code

Do you have a promo code? Enter it here

Please read carefully

Once the $250 administrative fee is received and providing you meet our eligibility requirements, and we can accommodate your request for housing, we will send you a Room Reservation Agreement. The $250 administrative fee is not applicable to rent. If you do not meet our eligibility and/or we have no availability for you, we will refund your administrative fee.
All accepted residents are required to attend an orientation soon after moving in.
Residence is limited to students/interns and/or fully employed people..
Minimum residence is one month. Maximum stay is one year.
Your residence is limited to the dates you indicated above. To extend your stay, a two-week written notice is required, and approval is subject to availability. If you decide to move out prior to your departure date indicated above, we require a one-month written notice.
Rent is always due in advance on the 1st of every month.
Based upon the information obtained by 92NY Residence Department, the Residence Department Admissions Committee shall in its discretion determine whether the applicant will be able to benefit from the experiences of dormitory/group living at 92NY, and will not be detrimental to him/herself and/or other 92NY residents. Meeting these standards is a prerequisite to admission to the 92NY Residence. In applying these standards, the Admissions Committee shall consider the relevant factors, including but not limited to the safety, morals and comfort of 92NY residents, as well as the purposes of the 92NY Residence Department.
Termination of residence may be given at the discretion of 92NY for any breach of the rules and regulations as in effect from time to time. The determination of such breach shall be made at the sole and absolute discretion of 92nd Street Y.

In addition please review the Individuals Rules and Regulations / Group Rules and Regulations.

I have read and agree with the statements above as well as the Rules and Regulations. *

AgreeDisagree

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