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  • Residence Hall Application

"*" indicates required fields

Residence Hall Application

Semester
Name & Student ID*
Email*
Please upload a photo of your student ID or Government issued photo identification.
Drop files here or
Accepted file types: jpg, png, gif, jpeg, Max. file size: 2 MB.
    Address*

    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
    Parent or Guardians Address

    General Information

    Gender*

    MM slash DD slash YYYY
    Are you a current or former foster youth?*
    Check the class to which you will belong during the year for which this application is made*
    Co-curricular Involvement*
    Are you in involved in any co-curricular activities at Taft College (ex. athletics, clubs, honor society, etc.
    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.
    Allowed file types jpg, png, pdf, doc, docx
    Drop files here or
    Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 2 MB.
      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.



      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.



      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.



      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.

      Emergency Contact Information

      Emergency Contact Relationship Emergency Contact Name Emergency Contact Phone (AM) Emergency Contact Phone (PM) Best Phone Actions
               
      There are no Emergency Contacts.

      Maximum number of emergency contacts reached.

      Check all that apply and explain all checked items

      Signatures

      Required if student is under 18 years of age.
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