Housing — Freshman 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.
  • Students must be enrolled in a minimum of 15 semester hours in order to receive a room assignment.
  • 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 athletics 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 your application will be denied.

Incomplete applications will not be accepted or considered

First Name:*
Last Name:*
Social Security Number:*
Home Address:*
Home Phone:*
Cell Phone:
Email Address:*
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.


Date of Birth:*