Semester Applying for: * Fall Spring Year * EMCC ID # Name *
Date of Birth *
Date Format: MM slash DD slash YYYY
Example: Male, Female, T-M2F, T-F2M, GenderQueer, etc.
* Home Phone * Cell Phone * Email *
Program of Study * Have you resided in on-campus housing at EMCC before? * Have you attended EMCC previously? * Which housing would you prefer to live in? * Are you requesting a specific roommate? * If yes, what is their name?
You BOTH must request each other in order to be assigned together.
Meal plans are required for all campus residents. Which meal plan would you like for the upcoming semester? * Smoking *
Eastern Maine Community College is smoke- and tobacco-free.
My Overnight Guests * My Roommate's Overnight Guests * My Sleeping Habits * My Room * Overall Personality * Do you have any medical conditions or allergies that our staff should be aware of? If you answered "Yes" above, please list: Have you ever been convicted, or adjudicated as a juvenile, of a violation of any local, state, or federal law, other than a minor traffic violation? * If you answered "Yes" above, please provide additional details: Housing Communities
EMCC offers four Living Communities which foster connections between neighbors by grouping individuals with the same interests together in small communities. Please review the following information and select the appropriate choice for each option
The CAN I definitely want to live in this community! This community would be my backup choice. I do not want to live in this community.
(Creative Arts Nook – Acadia Hall) – A community for residents interested in creative arts (painting, art, music, dance, etc.)
CORE I definitely want to live in this community! This community would be my backup choice. I do not want to live in this community.
(Community of Outdoor Recreation Enthusiasts – Kineo Hall) – A community for residents who love the outdoors and might prefer napping in a hammock, whitewater rafting, or weekend hiking trips.
GIH I definitely want to live in this community! This community would be my backup choice. I do not want to live in this community.
– (Gender-Inclusive Housing – Acadia Hall) – A community where roommates are assigned based primarily on hobbies and interests and gender identification is not factored into the process. This can be home to members of the LGBTQIA community, opposite-gender couples, siblings and everyone in between.
LIVE I definitely want to live in this community! This community would be my backup choice. I do not want to live in this community.
(Leadership in Volunteer Experiences) – Kineo Hall) – A community for residents who genuinely enjoy serving others, volunteering, and giving back to their communities.
If you would prefer to be assigned to our general housing community, please indicate below Please provide us with any additional information about yourself such as hobbies, likes/dislikes, personality traits, etc. that you would like us to take into consideration when making your roommate assignment. By checking this box, you agree that all the information you have provided is accurate and you authorize the investigation of all statements made in this application. *
The primary objective of the Residential Life Department is to provide an atmosphere conducive to study, relaxation, and growth. All residents are required to follow expectations set forth in the EMCC Student and Residential Life Handbooks, as well as the Student Code of Conduct and Civility Statement. Furthermore:
1. In order to be considered for campus housing, you must meet the eligibility requirements outlined in the Residential Handbook and on this application;
2. You must notify the Director of Residential Life (in writing) if your plans change and you no longer need campus housing;
3. It is your responsibility to make payment arrangements for your student bill before moving onto campus and that your housing assignment will be suspended or delayed until said arrangements are made.
Electronic Signature *
Please enter your name as an electronic signature here. By entering your electronic signature, you agree to the accuracy of all information submitted above.
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