Please complete and submit the housing application below to apply for on-campus housing at SWCC.

Contact Information

Select your gender* Male Female

Permanent address outside the United States? Yes No

First Name*

Last Name*

Permanent Address*

City*

State

Zip*

Phone (xxx-xxx-xxxx)*

Date of Birth (MM/DD/YYYY)*

Email*

In Case of Emergency Contact

Parent or Guardian*

Address*

City*

State*

Zip*

Phone (xxx-xxx-xxxx)*

Status

Participating in a varsity sport?*

Select your application status*

Cancelations must be made before July 1 for full deposit refund.

A nine-month lease is required during fall entrance.

The total semester is payable at the beginning of each term.

Semester*

Room Preference*

$3,305 West Hall per semester*

$3,830 Apartment-style per semester*

*Prices include room accommodations and $925 per semester on your SWCC dining card. Additional meal plan options will be available when you complete your housing contract. Prices effective July 1, 2022.

Payment Option

Your deposit must be paid to secure your placement on the housing list.

Method of payment for housing deposit:*

Enrollment Classification

Enrollment Classification* Arts & Sciences (College Transfer Program)
Career and Technical Education Program

Probable Major/Program

Other Information

List likes, dislikes, interests, & activities:

Roommate preference (list name/s)

Physical limitations/disabilities* Yes No

Have you received the meningitis info brochure?* Yes No

Have you had the meningitis vaccination?* Yes No

Type your initials as your digital signature.*

It is the policy of Southwestern Community College not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status. If you have questions or complaints related to compliance with this policy, please contact: Equity/Title IX Coordinator, Southwestern Community College (Administration Center), 1501 W. Townline St., Creston, IA 50801; phone, 641.782.1456; or email, TitleIXCoordinator@swcciowa.edu, or the Director of the Office for Civil Rights, U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204; phone, 312.730.1560; fax, 312.730.1576; TDD, 800.877.8339; or email, OCR.Chicago@ed.gov.

Data Consent* I agree that by submitting this form/application to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career. I understand that if I do not agree to this statement, this form/application cannot be submitted.

Thank you!

Your student housing application has been submitted. Thank you for choosing SWCC.

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