Residence Hall Application "*" indicates required fields Residence Hall ApplicationSemester Fall Spring Select Year20232024202520262027202820292022Name & Student ID* First Middle Last Anumber Email* Enter Email Confirm Email Student IDPlease 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Parent / GuardianPlease 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent or Guardians PhoneGeneral InformationGender* 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 StatementAllowed 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 preferenceFor consideration, students must request each otherAcknowledgement 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 belowoptionalEmergency or Illness ProceduresConsent*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 InformationEmergency 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.*SignaturesStudents Signature*Parent or Guardian SignatureRequired if student is under 18 years of age.CAPTCHA
