Student Housing Application

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

Contact Information

Is your permanent address outside of the United States? *

No

Yes

First Name *

Last Name *

Email *

Permanent Address *

City *

State *

Zip *

Address information *

Phone *

Date of Birth *

MM/DD/YYYY

Sex at Birth *

Gender Identity

Legal Sex

Pronouns

Preferred Name

Status

Select your application status *

Participating in a varsity sport? *

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 *

$3,480 West Hall per semester*

$4,055 Apartment-style per semester*

*Prices include room accommodations and minimum $1,025 per semester on your SWCC dining card. Additional meal plan options will be available when you complete your housing contract. Prices effective for the 2024-25 academic year.

Payment

Your $150 deposit must be paid to secure your placement on the housing list.

Choose a method of payment for your housing deposit. *

After the form is submitted, you will be redirected to complete your online payment. Due to system requirements, payments must be made from within the U.S. NOTE: There is a processing fee for online payments.

Please call the SWCC Business office during normal business hours at 800.247.4023, ext. 448, or 641.782.1448. SWCC accepts American Express, Discover, MasterCard, and Visa.

Payments can be made at the SWCC Business Office during normal business hours. SWCC accepts American Express, Discover, MasterCard, and Visa.

SWCC Business Office
1501 W. Townline Street
Creston, IA 50801

Make checks payable to:

Southwestern Community College
Business Office
1501 W. Townline Street
Creston, IA 50801

Enrollment Classification

Enrollment Classification *

Arts & Sciences (College Transfer Program)

Career and Technical Education Program

Probable Major/Program *

Other Information

For roommate matching, list your likes

Dislikes

Interests and activities

Roommate preference (list name/s)

Physical limitations/disabilities *

Yes

No

Have you had the meningitis vaccination? *

Yes

No

Will you be requesting accommodations for an emotional support animal?

Yes

No

Are you willing to live with a roommate who has an emotional support animal?

Yes

No

I would consider it depending on the type of animal

Applicant's 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: Lana Bartmess, Director of Human Resources/Equity/Title IX Coordinator (faculty or staff), Southwestern Community College, 1501 W. Townline St., Creston, IA 50801, phone, 641.782.1456, or email, TitleIXCoordinator@swcciowa.edu; Kim Bishop, Dean of Students/Deputy Title IX Coordinator (students), Southwestern Community College, 1501 W. Townline St., Creston, IA 50801, phone, 641.782.1413; 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, 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.