Student Housing Deposit Payment

Please only complete this form if you have already submitted your Student Housing Application but still need to pay the $200 deposit.

Student Contact Information

Is your permanent address outside of the United States? *

Yes

First Name *

Last Name *

Email *

Permanent Address *

City *

State *

Zip *

Address information *

Phone *

Date of Birth *

MM/DD/YYYY

Online Payment

If you would prefer to pay by phone, 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.

Total Payment *

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.

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.

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, political party affiliation, 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: This email address is being protected from spambots. You need JavaScript enabled to view it.; 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: This email address is being protected from spambots. You need JavaScript enabled to view it.; or the Director of the Office for Civil Rights, U.S. Department of Education, Cesar E. Chavez Memorial Building, 1244 Speer Boulevard, Suite 310, Denver, CO, 80204-3582, phone: 303.844.5695, fax: 303.844.4303, TDD: 800.877.8339, or email: This email address is being protected from spambots. You need JavaScript enabled to view it..

Phone

Student Housing Deposit Payment

Student Contact Information

Online Payment

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