California Institute of the Arts
On Campus Housing Application Request

Please fill in the following information and click the "Send" button to submit your request to the Housing Office. Starred items are required and the form will not be sent without data in these fields.

First name: 

*  

Last name: 

*

Mailing Address: 

*

City: 

*

State: 

*

Zip Code: 

*

Country: 

*

Phone: 

*

Age as of September: 

Year/Level: 

School: 

Specific Program within School: