Housing Application

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You must already be accepted to PRCC and have a valid PRCC Student I.D. number to apply for student housing.
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Preferred roommate must be accepted into PRCC and have a valid PRCC ID number.
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Please type your First and Last Name
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EMERGENCY CONTACT

     

AREA AND ROOMMATE(S) PREFERENCES

Preferences will be considered however, no guarantees are made for any particular residence area, room, or roommate assignment. Room and roommate assignments are subject to change at any time.

     

RESIDENT HALLS

     

ROOMMATE PREFERENCES

(Only mutual roommate requests will be considered)

     

EXTRACURRICULAR ACTIVITIES

(Check only if you have signed a scholarship with athletics, band/pearls, and choir or been accepted into the PRCC Honors Institute)

     

ACCOMMODATION OF DISABILITY

If you have a disability as defined by the Americans with Disabilities Act and/or Section 504 of the Rehabilitation Action of 1973, and would like to request a reasonable accommodation of disability in room assignment or other aspect of College Housing, you will need to contact the college’s Disability Resource Center (DRC) to follow its procedures for requesting such an accommodation so as to allow DRC to coordinate your request with Housing Operations.

PLEASE INDICATE BY CHECKING THE BOX:

     

Signature

I, the [applicant, requestor, etc.] for this Housing Application, warrant the truthfulness of the information provided in this application.