Fillable Printable UCSC Reference Release Form

UCSC Reference Release Form

Use this form to authorize UCSC staff to provide a rental reference on your behalf.

1) For financial and housing references, fill out this form and give a copy to the Campus Housing Office. Once this

document is on file, both the Campus Housing Office and Housing/Residential Life Office at your community can release

personal information when a landlord calls. If you use any other reference on campus, click on “Individual References” at

the bottom of this form, fill it out and give a copy of it to anyone you list as an individual reference.

2) Fill out the form “How to Check Rental References for a UCSC Student” and give it to potential landlords for

guidance and information needed to check your references.

I hereby authorize the UCSC offices below, and individual staff members, to speak with any potential

landlord, candidly and comprehensively, sharing any and all information about myself, including personal,

financial and contractual information otherwise protected by law or University policy (e.g., student conduct issues,

student employment matters, academic/class matters, etc.).

Cowell College

459-2173

Kresge College

459-4433

The Village

459-4388

Stevenson College

459-2173

Oakes College

459-3988

Redwood Grove

459-4433

Crown College

459-5689

College Eight

459-3335

Transfer Community

459-2746

Merrill College

459-5689

College Nine

459-3767

Camper Park

459-4388

Porter College

459-2746

College Ten

459-3767

The Campus Housing Office provides information about

your housing contract and payment history of housing fees

during the time you were a tenant at the University. The

Campus Housing Office must have a copy of this signed

release in order to speak to any potential landlord. You can

also fax it to them at (831) 459-3665.

The Housing/Residential Life Office at the community

where you lived (indicated above) informs potential land-

lords of your eligibility to return to campus housing based

on your conduct while a tenant at the University.

Before disseminating this information, the office will

confirm a copy of this release was submitted to the Campus

Housing Office.

Return completed form to the Campus Housing Office at 104 Hahn Student Ser

vices

UCSC REFERENCE RELEASE FORM

Graduate Student Housing Family Student Housing

459-5712 459-4080

Dates/years in residence: _____________________________________________________________________________

Print Name: ______________________________________________ Student ID#: ____________________________

Signature: ________________________________________________ Date: ________/________/_________________

University Town Center

421-0695

Individual References Other UCSC employees (e.g. supervisors, TAs, or professors) can be a reference as to

your

character, maturity, or academic standing.

Updated 2/15

STUDENTS: Your next step is to take the Online Renters’ Workshop available on CRO’s web site. You will learn:

• How to prepare a Rental Application Packet and maximize your search

• How to protect your security deposit and avoid problems with housemates, landlords, and neighbors

• Which housing situations to avoid

• Tenants’ rights & responsibilities