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El Camino College

REGENCY WEST CO.
12624 Rose Ave.
Los Angeles, CA 90066

TEL 310 930-5190 FAX 310 398-1009
E-mail: regencywes@cs.com
Application for Overseas Students
Student Housing
 
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Rental Services --------------------------------------

REGENCY WEST COMPANY
Apartments Rental Services

  1. Apartment Services: Regency West Company will pre-arrange the apartment accommodation for the student, before student's arrival to the United States, and upon the student arrival will assist the student to apply for electricity, gas and telephone services. The services are also available to students arriving to El Camino College from other States and for local international students attending El Camino College.
  2. Airport Transportation: Regency West Company will pickup the student from the Airport and will transport the student to the student to the apartment to sign the rental agreement.
  3. Location: The apartment location will be within close proximate to the College and to the public bus system.
  4. Apartment Rental Agreement: The duration of the apartment rental agreement will vary and will be depending on the apartment location as well as to the apartment size. Regency West Company will inform you, upon your request for the apartment service application, as to the options available as to the size of the apartment, location and rent per month.
  5. Apartment Size Options: There are two basic apartment sizes:
    a) Studio of Bachelor: will include one room with kitchen of cooking area and a bathroom
    b) One bedroom Apartment:will include living room, a bedroom, kitchen and a bathroom.
    c) Any larger apartment can be requested - the rent on larger apartments is higher.
  6. Rent Payments: The first month rent and the security deposit must be sent with the application for service and thereafter the rent paid monthly to the apartment manager. The security deposit id refundable at the end of rental period.
  7. Information Requests: To request more information about accommodation availability,
Please email to:regencywes@cs.com
or
TEL
310 930-5190
FAX
310 398-1009

REGENCY WEST COMPANY
12624 Rose Ave.
Los Angeles, CA 90066

 
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Application-----------------------------------------------------------------

Mr.  Mrs
First __________________
Middle __________________
Last __________________
No. Street __________________
City __________________
State ___
Country__________________
Parents Names __________________
Home Tel (____ ) __________________
Business Tel (____ ) __________________
E-mail__________________
Fax ( ____) __________________
Social Security (if any) __________________
Drivers License__________________
Date of Birth  month_____day______year______
Sex  male____female___
Have you attended any school in the U.S.? __________________
Which school are you going to attend? __________________
starting date at School: month_____day______year______
starting date of your Rental: :month_____day______year______
ending date of your Rental:  month_____day______year______
In case of an emergency whom may we contact:_____________________
I am interested in Studio apartment,___ or 1 Bedroom apartment___or 2 Bedroom apartment____
Application of $375.00 non refundable fee to be sent after submitting application. First months rent and security deposit will vary depending on rental chosen.

Agreement and release of liability:


I waive and release all claims against Regency West Co. and its agents including any person or entity employed or utilized by Regency West Co. and its suppliers in the USA for any loss, injury, damage, accident, delay or expense resulting from events beyond the company control, including acts of God, war, strikes, violence, sickness or quarantine, government restrictions or regulations or any acts of omission by any Homestay host, hotel, bus company, landlord, taxi service, restaurant, school or other firm, company or individual.


I understand that I am responsible for exercising due caution and common sense at all times to avoid injuries.
I understand that Regency West Co. is not providing me with any form of insurance and it is my responsibility to obtain my own insurance. If I become ill or incapacitate, Regency West Co. may take such action as it considers necessary, including medical care and homeward transportation, at my expense.


I indemnify Regency West Co. its agents and employees and hold them harmless, for any financial liability or obligation which I personally incur, or injury or damage to the person or property of others which I caused or contributed to.

This agreement become effective upon execution. I understand and accept all terms and condition of this contract.

APPLICANT SIGNATURE___________________________________________ DATE________________
If applicant is under 18 years of age: Parent or legal guardian
Signature___________________________________________

 

 
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