Coastal Alabama Summer Housing Application

WARNING:

This application is for the Summer 2022 Semester.
The Fall 2022 - Spring 2023 Housing Application is available through on our Housing tab on the Coastal Alabama Community College website!

Coastal Alabama Community College Summer 2022 Housing Application

For the Bay Minette Campus
Thank you for applying for Summer 2022 Campus Housing!

You are about to complete Coastal Alabama Community College’s housing application. We only have limited spots available in THOMPSON HALL ONLY! All sections of the housing application should be completed in order to provide the most accurate information for your housing assignment.

Students may request specific roommates on the Housing Application. The Coastal Alabama Housing Office strives to honor student requests for specified roommates; however, these requests must also be mutual and stated on the Housing Application. Roommate requests may only be approved if each student receives the same Residence Hall assignment. All other roommate assignments will be done on a random basis.

The final step to the application is the payment of the non-refundable $50.00 Application fee. The charge will be placed on your student account within 1 business day. Application fee is due within 3 business days.

The non-refundable application fee is due and payable with the online application, or the application will not be valid until the application fee has been paid. Once the application is completed the student will receive a confirmation of application submission via email. If a problem is detected the student will be directed to contact the Housing Office at 251-580-2121.

REMEMBER: ONCE THE STUDENT HAS APPLIED AND PAID THE $50.00 APPLICATION FEE, THE FEE IS NON-REFUNDABLE.

If you have not applied for Admissions at Coastal Alabama and received your ID number, you must do so before submitting this application.
Student A # *

Part 1: Student Information
First Name *
Middle Name
Last Name *
Mailing Address *

Street Address

City State

Zip Code
Phone Number *

Area Code Phone Number
Student E-mail *

Confirmation Email example: xxxx0000@student.coastalalabama.edu
Birthday *

Month Day Year
Date
Gender *

Part 3: Lifestyle Questions & Roommate Preference
Roommate Requested:
Please keep in mind that your requested roommate must name you as their requested roommate as well.
While the Housing Office strives to honor roommate requests, the following lifestyle questions are used to pair you with another student with similar preferences if possible.
Are you a Student-Athlete or Team Manager for the College? *
I am: *
COASTAL ALABAMA COMMUNITY COLLEGE IS A SMOKE-FREE CAMPUS.
COASTAL ALABAMA COMMUNITY COLLEGE IS A SMOKE-FREE CAMPUS. Smoking or the use of tobacco products and vapor-producing electronic devices (excluding meter-dose inhalers and nebulizers prescribed by a physician) are prohibited on any Coastal Alabama Community College property.
My approach to Cleanliness: *
In regards to personal habits, I am: *
When I study I: *
Please complete the following if you would like to share your contact information with your assigned roommate.

Part 4: Electronic Consent and Application Submission
The undersigned hereby understands and agrees that (upon electronic or written signature):
Electronic Signature *

First Name Last Name
Comments
Should be Empty:

WARNING:

The Fall 2022 - Spring 2023 Housing Application is available through on our Housing tab on the Coastal Alabama Community College website!

Coastal Alabama Community College Summer 2022 Housing Application