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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.

*IMPORTANT*
Incomplete applications will not be accepted or considered


First Name:*
Last Name:*
Social Security Number:*
Gender:*
Home Address:*
City:*
State:*
Zip:*
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.

Initials:*

Date of Birth:*