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Residence Hall Application
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Residence Hall Application
Semester
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Select Year
2023
2024
2025
2026
2027
2028
2029
2022
Name & Student ID
*
First
Middle
Last
Anumber
Email
*
Enter Email
Confirm Email
Student ID
Please upload a photo of your student ID or Government issued photo identification.
Drop files here or
Select files
Accepted file types: jpg, png, gif, jpeg, Max. file size: 80 MB.
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Parent / Guardian
Please complete this section if the student is under 18 years of age as of the date the student completes this application.
Parent or Guardian
First
Last
Relationship
Parent or Guardians Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Parent or Guardians Phone
General Information
Gender
*
Male
Female
Non-Binary
Other
Date of birth
*
MM slash DD slash YYYY
Are you a current or former foster youth?
*
Yes
No
Check the class to which you will belong during the year for which this application is made
*
Freshmen
Sophomore
Major field of Study
*
Co-curricular Involvement
*
Are you in involved in any co-curricular activities at Taft College (ex. athletics, clubs, honor society, etc.
Yes
No
Please list the specific sport, club, or program in which you are a participant.
When do you plan to enter Taft College?
*
MM slash DD slash YYYY
Do you have any chronic ailments or physical disabilities which will affect your room assignment?
If yes, please attach a doctor's statement giving the nature of your disability.
Yes
No
Doctor Statement
Allowed file types jpg, png, pdf, doc, docx
Drop files here or
Select files
Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 80 MB.
Roommate preference
For consideration, students must request each other
Acknowledgement of Residence Hall Rules and Regulations.
*
I have read the Taft College Residence Hall Handbook and understand that If I am in violation of any rules, I will be subject to a warning, probation, or dismissal as determined by the Residence Hall Supervisor and/or the Vice President of Student Services.
I agree
Acknowledgement of refundable security deposit.
*
I understand that a refundable security deposit is required and that my application will be processed on the date the $150 is received at the Cashier's Office. I also understand that the security deposit does not guarantee a spot in the dorms, it only guarantees a spot on the waiting list with the submission of a completed TC Residence Hall application. Lastly, I understand that my deposit will be returned in its entirety if no bill incurs due to damage to the dorm room or any part of the dorm facility.
I agree to the policy.
Acknowledgement of Payment.
*
I have read the License for Use of Residence Hall Facilities and Food Service policy. I understand and agree to the Terms and Conditions of Occupancy attached to the License and understand that the use of housing facilities and participation in the Food service Program is subject to the regulations of the Governing Board of Taft College. I agree to assume and to be primarily responsible for all charges specified herein, payable at the times, and in the amounts indicated in the Residence Hall Fees and Meal Plan.
I agree to the policy.
Residence Hall Fees and Meal Plan
If there is any other information about yourself that you feel would be helpful to the college in making a satisfactory room assignment, please provide it in the space below
optional
Emergency or Illness Procedures
Consent
*
In case of emergency, illness, or injury, the College is authorized to call paramedics and—if determined necessary—to allow them to transport the student to a local hospital by ambulance.
By checking this box, I approve the emergency or illness procedures above and understand that I am responsible for the fees associated for any medical service that is not covered by insurance.
I agree to the contact policy.
Emergency Contact Information
Emergency Contact
Emergency Contact Relationship
Emergency Contact Name
Emergency Contact Phone (AM)
Emergency Contact Phone (PM)
Best Phone
Actions
Edit
Delete
There are no
Emergency Contacts.
Add Emergency Contact
Maximum number of emergency contacts reached.
Check all that apply and explain all checked items
Medications taken regularly
Drug/Medication sensitivity or reaction
Asthma
Heart Disorder
Allergies
Other medical or physical conditions of which the college should be aware
Explanations of above checked items.
*
Signatures
Students Signature
*
Parent or Guardian Signature
Required if student is under 18 years of age.
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