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Freshman Housing Application

To submit a housing application, please complete the form below or click here for a printable version.  (*) denotes a required field.  All applicable fields must be filled out in order for your housing application to be accepted.

  • A $50 housing fee will be charged to your student account upon assignment of a room. The Business Office will bill you for this amount.
     
  • Roommate and dormitory assignments will be made according to your request on a first-come first-served basis.
     
  • If a roommate preference is requested, the information regarding dormitory preference must match exactly meaning that both roommates must list the same dormitory preferences in the same order.
     
  • A Minimum GPA of 1.75 for two semesters is required for dormitory residency.
     
  • Out-of-state students who are not attending Holmes Community College on athletic scholarship will not be housed on campus. Dormitories are closed on weekends except to out-of-state athletes on scholarship. Please do not submit a housing application if you do not fit into this category of future student. We apologize, but you application will be denied.
First Name:     *     Last Name: *
Social Security Number:   *            *
Home Address:   *
City:   *     State:   *      Zip:   *
Home Phone:   *     Cell Phone:
Email Address:
   
I am applying for:  *
Dormitory Preference: (Choose One) For women:
For men:
Room / Floor Preference:
Roommate Preference:
Scholarships Received: Athletics (indicate sports)

Performance (Band, Dazzlers, Connection, Drama, Choir)

Academic (Presidential, Dean, or ACT)
   

Student Permission: By entering my initials and date of birth below, I confirm that all information provided is true and accurate.

Initials:   *                    Date of Birth:   *