FTC Student Housing Application V2

STUDENT HOUSING APPLICATION

For New & Returning Students

Congratulations to all newly accepted students and welcome to the Five Towns College community! New students as well as returning students who desire to live on campus are encouraged to submit the Student Housing Application early. Since there are a limited number of rooms, it is important that those who would like to live on campus secure their spot by following the Instructions below.

Completing this Application does not guarantee a room assignment for the semester but it is necessary for students to reserve a room and, thereby, have their names entered on the housing roster. So, please carefully read and complete the questions presented, and submit your responses. Returning students must be in good academic standing in order to reside on campus.

INSTRUCTIONS:
Please read this Student Housing Application and the Conditions of Residence Living by clicking here. Then, acknowledge your understanding and agreement by completing and signing the online Application and click submit. It is suggested that you retain a copy of the Conditions of Residence Living for your records.
I. STUDENT INFORMATION
Applicant Name
Last*
First*
Middle Initial
Preferred Name
For Returning Students, FTC Student ID#:
My permanent address is located within:*
- United States
- Canada
- Other country
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Permanent Address*
Street Address Address Line 2 City Province Postal Code
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email Address*
Cell Phone*
By providing a cell phone number, I consent to receive SMS/text messages from Five Towns College.
Date of Birth*
Sex*
- Male
- Female
- Other
How do you identify?*
What time of room do you request?*
Please note- there is limited availability of single rooms and no guarantee that this can be assigned
- Single
- Double occupancy
Emergency Contact Person*
Please enter the name and number of a person who should be contacted in the case of an emergency. You can add more than one person by hitting the plus (+) button.
Name Telephone Number
- I am applying for campus housing as a Five Towns College student. I understand that if I receive a housing assignment, and I decide not to attend Five Towns College that I must notify the College in writing prior to July 1 st for the Fall Semester and January 2nd for the Spring Semester to receive a full refund of my housing deposit.
- I understand that I will be held responsible for the payment of the residence fees in accordance with terms and conditions set forth in the Five Towns College Catalog and Residence Life Handbook, which is incorporated herein by reference.
- Room assignments are made without regard to race, religion, color, creed, national origin or veteran status. The Residence Life Office merely attempts to match roommates on the basis of similar living habits and interests.
- The Meal Plan is mandatory for all students living on campus.
- Five Towns College has a no-smoking policy in the Residence Halls and Campus Buildings. There are just a few designated smoking areas outside on campus.
- Motor Vehicles are permitted on campus as long as they are registered in the Public Safety Office.
- If approved, my Residence Hall license shall remain in full effect while I reside on campus but may be revoked for any violation of its terms and conditions.
- I hereby assume all risk incident to my residence at Five Towns College and agree to indemnify and save harmless Five Towns College Real Property Trust, Five Towns College, its employees, agents, and assignees from and against all losses, claims, actions, suits, expenses, liabilities, damages, or legal fees on the account of any loss, or injury to persons or property incurred by or caused by the acts of the undersigned, except for gross negligence on the part of the College.
- Additionally, I understand and agree that college officials may conduct a search of my room on occasion and pursuant to the Residence Life Handbook and this Student Housing Application if there is reason to believe that violations and/or unlawful events have taken place or, in any event, for health and safety inspections as stated therein.
Application Agreement*
- I hereby verify that my responses are truthful and that I have read and agree to abide by the terms and conditions of this entire application, including the Conditions of Residence Living .
Signature*
Name*
First Last
Date: 02/08/2023
Are you under 18 years of age?
- Yes
- No
Signature of Parent or Guardian*
(required if student is under 18 years of age)
Name of Parent or Guardian*
First Last
Date: 02/08/2023
II. Roommate Assignment Questions
What is your expected class status for next year?*
- Freshman
- Sophomore
- Junior
- Senior
Are you a transfer student?*
- Yes
- No
Do you have a roommate preference?*
- Yes
- No
Name of roommate
First Last
Medical/Physical or Emotional Conditions
Indicate any medical/physical or emotional conditions that should be considered when making a room/roommate assignment, including whether you have any ALLERGIES and what they are, ie. seasonal, food, and/or any other. Please provide medical documentation, if none indicate “None”.
III. LIFESTYLE CONSIDERATIONS
Which statement best describes you?*
- I am a morning person and prefer to live with a morning person.
- I am a morning person and can live with a night person.
- I am a night person and prefer to live with a night person.
- I am a night person but can live with a morning person.
How do you feel about groups of people socializing in your room?*
- This would be fine with me except when I am trying to sleep or study in my room.
- This would be fine occasionally.
- I would be okay only if I didn't plan to be there.
- I would expect to find privacy in my room most of the time.
I like to study quietly late at night in my room*
- Yes
- No
I am a smoker.*
- Yes
- No
Do you like to listen to music or watch television when you go to bed?*
- Yes
- No
Which statement best describes your standards for the condition of your room?
- I like my room to be clean almost always.
- I like my room to be neat, but am willing to put up with a little clutter from time to time.
- It does not bother me if my room is cluttered and disorganized.
I like the following music (check all that apply):
- Rock
- R&B
- Country
- Gospel
- Classical
- Jazz
- Punk
- Metal
- Pop
- Rap/Hip Hop
- Other
Other type of music
Who are some of your favorite music artists/bands?
Please list one per line. Click the plus (+) button to add more.
My academic program at Five Towns College is:*
Business Administration Concentration
Business Management Concentration
Jazz/Commercial Music Concentration
Mass Communication Concentration
Theatre Arts Concentration
IV. ROOMMATE QUESTIONS
What do you want in a roommate?
How do you study?
(Meaning do you need silence, do you like to listen to music, etc.)
What are your pet peeves?
What are your favorite TV shows?
How do you like to spend your free time?
Do you play any instruments?
- Yes
- No
What instruments do you play?
Please list one per line. Click the plus (+) sign to add more than one.
Will you play musical instruments in your room?
- Yes
- No

Save and Continue Later

Name	Telephone Number

STUDENT HOUSING APPLICATION

For New & Returning Students

I. STUDENT INFORMATION

II. Roommate Assignment Questions

III. LIFESTYLE CONSIDERATIONS

IV. ROOMMATE QUESTIONS

Review and Submit