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Housing Application Process (Edmonds Community College)

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Housing Application Process
Step 1:Turn in your complete application along with applicable fees.
Step 2:Watch for emails regarding missing items or other needed information.
Step 3: The placement process begins 1-2 months before the quarter starts.
Shortly after placements are completed, you will be notified if you have been
placed or if you will be on the waitlist.
Step 4: If you are sent placement, you will need to confirm your placement
and inform us of your arrival date and estimated arrival time. If you are on
the waitlist, you will need to let us know if you want to stay on the waitlist in
case any room opens up.
Step 5:Move in on arrival day!
Housing Application Checklist
Application including housing choices and preferences
Application fee
Other fees (if required)
Student’s photo ID
Signed medical consent form (if required)
Arrival information
Background check form (if required)
Items below are needed for an application to be considered complete
Housing and Residence Life Office
19920 68th AVE W
Lynnwood, WA 98032
P: 425-640-1080 || E: Housing@edcc.edu || W: http://housing.edcc.edu
Domestic
Housing Application
Housing and Residence Life Office
19920 68th AVE W
Lynnwood, WA 98032
P: 425-640-1080 || E: Housing@edcc.edu || W: http://housing.edcc.edu
Last Name:
First Name:
Preferred Name/Nickname:
Date of Birth: Age:
Male Female Gender Neutral
EdCC Student ID Number:
Are you a CWU student?
International Student U.S. Student
/ /
Month Day Year
Office Use Only
Date Received:
Fee(s) Paid:
BG Sent:
Housing Choice:
Quarter:
Yes No
Current Address or Home Country/Family Address
Address:
City: Postal Code: State/Province:
Country: Phone: - -
Student's Email:
Country of Citizenship:
Native Language:
Emergency Contact Information
(Name) (Phone)
(Email) (Relationship)
(Address) (Country)
Personal Information
Year & Quarter you plan to begin: Year:
Fall ( Sept. - Dec.)
Winter (Jan. - March) Spring (March - June) Summer (July - Aug.)
Domestic 2020-21
Edited 1/1/2020
Residence Hall
Contract for: 3 Quarters 4 Quarters
Only at EdCC for 1 or 2 Quarters? How many quarters?
Why?
What is your building choice? (Rank 1st, 2nd, etc)
Rainier Place Triton Court Spencer Court
Sophie Court
(Opening Fall 2020) (Only available until Summer 2020) (Only available until Summer 2020)
Room type - See website for apartment types, room types, floor plans, and prices
Single bedroom in a 4 bedroom unit (Rainier Place only)
(Rank 1st, 2nd, etc)
Single bedroom in a 3 bedroom unit (Triton, Spencer, and Sophie Courts)
Single bedroom in a 2 bedroom unit (Triton Court only)
Studio (Rainier Place and Triton Court)
Shared room (Rainier Place, Triton, Spencer, and Sophie Courts)
Apartment type:
Single sex apartment (all female or all male)
Co-ed apartment (2 females and 2 males together in an apartment)
Either is ok
General:
Are you an athlete at EdCC? No Yes - Which sport?
Do you smoke? Never Seldom Sometimes Frequently
Are you allergic to smoke?
No Yes
What are your hobbies?
Vegetarian? No Yes
Is there anyone in particular that you would like to live with?
Other preferences for your room/apartment?
Are you a veteran? No Yes
Or other dietary restrictions?
Reasonable Accommodation
Do you require any special physical or learning assistance?
Please describe:
Do you have any medical conditions or allergies?
Please describe:
Yes No
Yes No
Arrival Information
SEE WEBSITE FOR APPROVED ARRIVAL DATES - http://housing.edcc.edu
Early Arrivalsmake their own arrangements for transportation and hotel until official arrival date
I need airport pick-up on Arrival Day.
I am arriving after the Arrival Day(s)?
Flight Arrival Information
Date: Airline: Flight #: Arrival time in Seattle:
I will arrive at the housing office on my ownon Arrival Day. Date: Time:
If not decided now, please send information to housing@edcc.edu at least 2 weeks before arrival day.
Application Responsibilities/Expectations
Please be aware that we will do our best to fit you with your room request, but we do not guarantee your first
choices. Confirmation of room assignments will be sent out some time in the month prior to arrival (Fall-
placements are sent out starting in July) There is no refund on the $275 application fee unless we are not able to
place you in a room. After being assigned a room, you agree to move in, and follow all Housing and College
Policies and pay at least one quarter’s worth of rent/stipend. Also, please note that the College does not cover
personal items for insurance purposes.
(Student's Printed Name) (Date) (Student's Signature)
(Date)
Medical Release Form (For Students under the Age of 18)
The Housing Office must follow specific procedures for accommodating, supporting, and monitoring
students under 18 years of age studying at Edmonds Community College.
Medical Release Form
Hospitals and physicians may be reluctant to treat or care for children without consent from parents or legal
guardians. This can cause problems if the child has a medical emergency and parent/guardians are not readily
available to consent to treatment.
Copies of the form will be made available to International Education Division, International Student Services,
Housing and Student Life offices of Edmonds Community College.
authorize and consent to medical, surgical and hospital care, treatment and procedures to be performed for my
child by a licensed physician or hospital when, at the sole discretion of the attending physician, such care,
treatment and procedures are immediately necessary or advisable in the interest of my child’s health and well-
being, and it is not advisable to take the time to contact me in advance. Under the circumstances set forth above, I
elect not to be informed in advance of the nature and character of the proposed treatment, its anticipated results,
possible alternatives, and risks, complications, and anticipated benefits involved in the proposed treatment and the
alternative forms of treatment, including non-treatment.
I, , the parent of (Student)
Signature of Parent
Witness
Date
Date
Fee Payment
Quarterly Housing Payments made by:
Paying by Credit Card
Student Last Name:
First Name:
Student ID Number:
Credit Card Number:
Exact Name on the Card:
Expiration Date: CVV Code: Total you want charged:
$275 Housing Application Fee (Must be paid with Housing Application)
Other items you would like to pay for now?
Credit Card Type:
Housing Applications will not be processed without application fee payment. An application is not considered complete until payment is
received and processed. The order in which we place students depends on the date that we receive a complete application.
$200 Deposit (Residence Hall)
$200 Cleaning Fee (Residence Hall)
Airport Pick-Up (Arrival Day Price: $35
; Non-Arrival Day Price: $100)
Housing Rent/other:
Agent Student/Family Financial Aid
Other - If so, what?
Email of person paying
How will you pay the $275 application fee (non-refundable if we process placement):
I will pay with a credit card (See below for sending credit card information)
I will pay with a check (attached)
I will pay with a wire transfer from my bank
Wire amount: Date sent:
Name of person paying
Sponsorship
Relationship to Student
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Housing Application Process (Edmonds Community College)

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Completed 9 October 2020

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