Form Submission

Residence Hall Application Form

APPLICATION/PLACEMENT PROCESS

Applications are processed on a first come, first serve basis. Please be advised that applications are not considered complete until the $150 application fee is received.
We do our best to assign bed spaces based on each Applicant’s preferences, but first choices are not guaranteed
The $150 application fee is non-refundable unless:
- Olympic College Residence Hall is at 100% occupancy (upon receiving your application, OC will notify you that your fee will be refunded due to no vacancy) OR
- If you are not granted your F1 student visa (proof of visa denial is required)

Fields with * are required

Pronouns:
*First name:
Middle name:
*Last name:
*CTCLink ID:
*Date of birth:
*Country of Citizenship:
*I am a(an):	International Student U.S. Student

Current Address (if applicable)

*Street Address:
*City:
*State/Province:
*Country:
Postal Code:
*Phone:
*E-mail:
Fax:

Permanent/Home address (if different than above)

Street Address:
City:
State/Province:
Country:
Postal Code:
Phone:
E-mail:
Fax:

Emergency Contact

*Name
*Relationship
*Language
*Phone
*Email
Fax

Emergency Contact - Alternate

Name
Relationship
Language
Phone
Email
Fax

RESIDENCE HALL PREFERENCES

*What Contract do you prefer? 10-month Academic Year (Fall, Winter, and Spring quarters) (September-June)
12- month Full Year (Fall, Winter, Spring, and Summer quarters) (September-August )
Additional Information:

*Which quarter do you plan to start? Fall
Winter
Spring
Summer

Do you need to move in earlier than the specified move-in date? If so, when? * * * Room Choice: Please select your first, second, and third choice.
First: Standard Room (400ft. sq.) - Single OccupancyLarge Room (480 ft. sq.) - Single Occupancy
Standard Room (400 ft. sq.) - Double OccupancyLarge Room (480 ft. sq.) - Double Occupancy
Second: Standard Room (400ft. sq.) - Single OccupancyLarge Room (480 ft. sq.) - Single Occupancy
Standard Room (400 ft. sq.) - Double OccupancyLarge Room (480 ft. sq.) - Double Occupancy
Third: Standard Room (400ft. sq.) - Single OccupancyLarge Room (480 ft. sq.) - Single Occupancy
Standard Room (400 ft. sq.) - Double OccupancyLarge Room (480 ft. sq.) - Double Occupancy
Roommate Information:
List the names of preferred roommates (if any)
1st choice: 2nd choice:
Are you on an OC Athletic team?Yes I play No
List any concerns or requests you have:

Personal Habits

*Do you smoke? FrequentSeldomNever *The OC Residential Hall is a non-smoking facility. You may smoke outside in designated areas.

*Do you drink alcohol? FrequentSeldomNever (Drinking is illegal under age 21)
*What is your sleep schedule like? I wake up early
I wake up late
I go to bed early
I go to bed late
It varies
*I keep my living space: Very Clean
Clean
Messy/Not Clean
Study habits (choose all that apply):
*I prefer to study at home
at the library or elsewhere on campus
at coffee shops or other public areas

*Do you like to have friends and guests over: Never
Sometimes
Frequently
All the time *What do you like to do on your free time?

*What are you studying?
*If an international student, what is your current English ability? Fluent
Fair
Little
Very little
*What is your native language:
Which other languages, if any, do you speak?

*I prefer to room with: International Student
US Student
Either

*Do you have any dietary restrictions? Yes
No
If yes, please describe:

The OC Residence Hall works closely alongside Access Services regarding all disability-related housing accommodations. To request a housing accommodation such as a bottom-story room, an Emotional Support Animal, or an ADA unit, please reach out directly to Access Services at accessservices@olympic.edu.

For non-disability related requests or information, please comment here:

I have read and understand the information provided in the Residence Hall application. The information I provided on the application is truthful and accurate. I understand that by signing the application I agree to the rules and regulations listed and will participate in the Residence Hall option to the best of my ability.

*Signature/Name:
* Date:

* I agree that typing my full name in the text box and checking this checkbox shall serve as an equivalent to my handwritten signature.

PAYMENT METHOD

*I will pay $150.00 (USD) with following method: Check or money order payable to Olympic College
Wire transfer to Olympic College.
Beneficiary: Olympic College
Name of Bank: US Bank
Account Number: 1 535 9542 6344
Routing Number: 125000105
SWIFT Code: USBKUS44IMT
Credit card (VISA or Master Card).
Please fill out Payment Authorization Form and
Mail to: Olympic College International Student Services/Office of Residence Life
1600 Chester Avenue, Bremerton, WA 98337-1699