Fillable College of the Redwoods Student Housing Information Form (College of the Redwoods)

Fill Online, Printable, Fillable, Blank College of the Redwoods Student Housing Information Form (College of the Redwoods) Form

Use Fill to complete blank online COLLEGE OF THE REDWOODS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

College of the Redwoods Student Housing Information Form (College of the Redwoods)

On average this form takes 23 minutes to complete

The College of the Redwoods Student Housing Information Form (College of the Redwoods) form is 5 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 84 other fields

Country of origin: US
File type: PDF

U.S.A. forms for College of the Redwoods

BROWSE COLLEGE OF THE REDWOODS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
College of the Redwoods – Student Housing Information Form
The following forms are required of all residents. The information is used by the staff in emergency situations and for the assignment of
roommates. All information will be held in strict confidence. If you would like us to be able to share your contact information with your
roommate prior to move in, please check YES on the last page of the Roommate Questionnaire.
1. Student’s Name: Last
First
MI
2. CR ID # (Required)
3. Student’s Mailing Address
City
State
Zip Code
Country
(Area Code and
Number)
Cell Number
(Area Code and Number)
5. Date of Birth Age
/ / _____
6. Gender
7. Student’s E-Mail Address:
8. What is your cumulative High School or College Grade Point Average (GPA)?
(Required) ________
Did you receive a GED or Proficiency Certificate?
9. College Level: (Check all that apply)
□ 1
st
Year College Freshman □ Returning College Student □ Transfer Student □ Athlete □ International Student
11. Program of Study?
10. Food allergies/ dietary restrictions?
12. Type of Occupancy Requested: (Check all that apply, needs to match the selected term on the License Agreement)
□ Summer Session May 22, 2020- August 10, 2020 (Must have a Full-Year or Fall-Only contract)
□ Full-Year August 22, 2020-December 19, 2020 and January 17, 2021-May 15, 2021
□ Fall-Only August 22, 2020-December 19, 2020
□ Spring-Only January 17, 2021-May 15, 2021
Police Academy- Fall Only July 6, 2020- December 12, 2020
Police Academy- Spring Only January 4, 2021- June 11, 2021
13. If you are a person with a disability, do you require any special accommodations for housing placement?
If yes, please explain: (Attach an additional sheet if needed, please list any special accommodations which you require.)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
14. Have you ever been convicted of a criminal offense? ( *Note: this will not necessarily deny your housing
eligibility). Of what specific offense were you convicted? ______________________________________________________
_____________________________________________________________________________________________________
15. Have you applied for 2020-2021 Financial Aid?
If yes, when did you file your FAFSA? ________________________
Have you received your Financial Aid Award
Letter from College of the Redwoods?
16. Have you lived in the College of the Redwoods Residence Halls before?
If yes , what semester/s? ________________
________________________________________
Continue to the next page
By signing and submitting this Housing interest form, the undersigned (and if applicable, his/her/their parent or guardian) agrees to be
bound by the terms and conditions set forth in the College of the Redwoods Residence Hall License Agreement (a copy of which is
attached to this application).
Students Full Name (First and Last): ________________________________________Date: ___________________________
Parent/ legal guardian's name:
(If under 18, signature of parent/legal guardian is required on page 10 of this packet.)
Housing Interest Packet
EMERGENCY OR ILLNESS PROCEDURES
IN CASE OF EMERGENCY, ILLNESS, OR INJURY, THE COLLE
GE IS AUTHORIZED TO CALL
PARAMEDICS AND—IF DEEMED NECESSARY—ALLOW THEM TO TRANSPORT THE STUDENT TO A
LOCAL HOSPITAL BY AMBULANCE.
_____YES Student Name (first and last):
_____NO
Emergency Contact Information:
Parent/Guardian (name)__________________________ Day Phone: (_____) ________________________
Address:
________________________________________ Night Ph: (_____) ________________________
Parent/
Guardian (name)___________________________ Day Phone:(_____) ________________________
Address:
________________________________________ Night Ph: (_____) ________________________
Other Con
tact____________________________________ Day Phone: (_____) ________________________
Relati
onship:_____________________________________ Night Ph: (_____) ________________________
Family Ph
ysician ________________________________ Day Phone: (_____) ________________________
Check al
l that apply and explain all checked items:
____ Drug/M
edication sensitivity or reaction
____ Asthma ____ H
eart Disorder ____ Allergies
____ Other heal
th or medical conditions of which the College should be aware:
___________________
_____________________________________________________________________________
___________________
_____________________________________________________________________________
___________________
_____________________________________________________________________________
________________________________________________________________________________________________
Group #_____________ Name of Insurance Carrier
(Please send a copy of the Insurance Card.)
Student’s Name Date________________
-----------------------------------------------------------------------------------------------------------------------------------------
If the student is under 18 years of age as of the date the student signs the application, then this form MUST BE
SIGNED
(page 10 of this packet) by a parent or guardian.
I hereby give my consent for medical or surgical care to be given to my son or daughter should the need arise. In the
event that I cannot be reached, I authorize the College to proceed as indicated above.
Parent ’s Name Date______________
Continue t
o the next page
Housing Interest Packet
ROOMMATE PREFERENCE QUESTIONNAIRE
Name________________________________________________________________________________
Last First MI
Age: Gender Male Female
PREFERRED ROOMMATE (name) __________________________________________________________________
Your answers to the following questions provide us the information to pair you with a roommate for the coming year.
Please read and answer each question carefully. All of your responses are CONFIDENTIAL (we will share your
information with your paired roommate only if you select YES on page 5 of this form) and will be used only to make
compatible roommate assignments. Some questions may require imagination. When selecting your answers, please
remember to answer with the understanding that college life may provide you new freedoms, choices, and opportunities.
Personal Preferences/Personality Descriptions
1) Although there is no smoking on campus (including the Residence Halls):
Do you smoke?
Would you object to a roommate who smokes?
Continue to the ne
xt page
2) Would you consider yourself to be:
3) At what level do you prefer to listen to your music?
4) When studying is your music:
5) I prefer to sleep and study in a room that is:
6) If visiting, you would probably find my room:
7) Do you consider yourself:
8) As
it relates to sharing my personal belongings with my roommate:
9) If my
roommate were doing something that bothered me, I would:
10) List three hobbies or activities that you enjoy:
Housing Interest Packet
[Please Select One]
[Please Select One]
[Please Select One]
[Please Select One]
[Please Select One]
[Please Select One]
[Please Select One]
[Please Select One]
There is a possibility that some of the questions are more significant to you than others. Please indicate the three most
important questions in order so that we can make the best match possible.
1st Priority
2nd Priority
3rd Priority
11
) W
hat qualities/habits would your IDEAL roommate have?
12
) W
hat academic courses / areas interest you the most?
13) What careers most interests you right now?
14) What campus activities do you plan to participate in?
15) What interscholastic sports do you plan to participate in if any?(Available interscholastic sports: Baseball, Men’s
and Women’s Basketball, Cross Country, Football, Men’s and Women’s Soccer, Softball, Track, Volleyball.)
16) Why did you choose college of the Redwoods, and why do you want to live on campus?
17) How did you hear about College of the Redwoods Housing? (Internet, friends, radio, coaches, etc.)
18) Have you indicated on your Finan
cial Aid Paperwork (FASFA Question 52, see example below) that you are a
foster youth? Example from FASFA - (Question 52. At any time since you turned age 13, were both your parents deceased,
were you in foster care or were you a dependent or ward of the court?) (Please select one)
Continue to the next page
Question #
Question #
Question
#
Question #
Question #
Housing Interest Packet
NA
NA
NA
OPTIONAL AGREEMENT
Would you like to request that you be assigned a space in the "Study Hall"? (Please select one)
Please note that if you are assigned to this floor, whether at your request or otherwise, you must agree to respect and observe
a 24-hour quiet policy.
Student Name: Date:
OPTIONAL AGREEMENT
Would you like for the Housing Office to share your contact information with your assigned roommate? (Please
select one)
*Please not
e that roommate assignments may change up to Opening Day.* If you or your assigned roommate does not select
“Yes” in this box, the Housing Office will be unable to share their information with you.
When accepted, I would like to receive my acceptance letters and additional forms via
:
Housing Interest Packet
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

College of the Redwoods Student Housing Information Form (College of the Redwoods)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document