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      • Business Administration
      • Business Management
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      • Interactive Media Arts
      • Liberal Arts
      • Mass Communication
      • Music Teacher Education
      • Music Performance
      • Theatre Arts
    • GRADUATE PROGRAMS
      • Sound Recording Technology
      • Music Education
      • Master of Music
      • Doctor of Musical Arts
    • ACADEMIC RESOURCES
      • Online Education
      • Five Towns College Catalog – 2022-23
      • Registrar
      • Winter Session / J-Term
      • Academic Standards
      • Student Success Center
      • The Writing Center
      • FTC Bookstore
      • Academic Calendar
      • College’s Student Learning Assessment
  • ADMISSIONS
    • UNDERGRADUATE ADMISSIONS
      • How to Apply: Undergraduate
      • Online Application
      • Early Action College Application Process
      • Higher Ed Opportunity Program (HEOP)
      • L.I. Superintendent’s Scholarship
      • Summer High School Scholars Initiative
      • High School Jazz Festival Initiative
      • Guidance Counselors
      • Accepted Students
      • Orientation
    • GRADUATE ADMISSIONS
      • Online Application
      • Graduate Music Studies Incentive
      • Fellowship Performance Initiative
      • Adult and Continuing Education
    • ADMISSIONS RESOURCES
      • Open House Events
      • Campus Visit
      • For Parents
      • For Transfer Students
      • For International Students
      • For Veterans
      • FAQ
      • Request Information
      • Zoom Information Sessions
  • FINANCIAL AID
    • OVERVIEW
      • Financial Aid Overview / Consumer Information
      • Apply for Financial Aid | FAFSA Application
      • Grants, Loans, Scholarships and Veterans’ Benefits
      • Federal Work Study | Work Study Application
      • SAP Requirements
    •  DETAILS: TUITION & FORMS
      • Tuition and Fees
      • Payment Plans
      • Links and Forms
      • Upload Financial Aid Documents
  • STUDENT LIFE
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      • Calendars
      • Current Students
      • Career Services Center/Alumni Assoc
      • Student Success Center
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      • Residence Life
      • Enough is Enough
      • Things To Do On Long Island
    • ATHLETICS
      • Men’s Basketball
      • Men’s Soccer
      • Men’s Volleyball
      • Men’s Cross Country
      • Women’s Basketball
      • Women’s Soccer
      • Women’s Volleyball
      • Women’s Cross Country
      • FTC SOUND LIVE! Stream
      • Sound Esports
  • ABOUT US
    • ABOUT FIVE TOWNS COLLEGE
      • College Mission Statement & Goals
      • College Accreditation
      • Administration
      • Consumer Info / Student Right To Know
      • Faculty
      • Fast Facts
      • FTC News: The Record Online
      • Directions
    • CAMPUS FACILITIES
      • On-Campus Housing
      • Campus Dining
      • FTC Performing Arts Center
      • The John Lennon Center
      • Information Technology Office
      • FTC Campus Store
      • Library
      • Public Safety
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      • Administrative Office Contact Info
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STUDENT HOUSING APPLICATION

STUDENT HOUSING APPLICATIONColin EverBeta2023-03-13T16:06:10-04:00

STUDENT HOUSING APPLICATION

For New & Returning Students

Congratulations to all newly accepted students and welcome to the Five Towns College community! New students as well as returning students who desire to live on campus are encouraged to submit the Student Housing Application early. Since there are a limited number of rooms, it is important that those who would like to live on campus secure their spot by following the Instructions below.

Completing this Application does not guarantee a room assignment for the semester but it is necessary for students to reserve a room and, thereby, have their names entered on the housing roster. So, please carefully read and complete the questions presented, and submit your responses. Returning students must be in good academic standing in order to reside on campus.

INSTRUCTIONS:

Please read this Student Housing Application and the Conditions of Residence Living by clicking here. Then, acknowledge your understanding and agreement by completing and signing the online Application and click submit. It is suggested that you retain a copy of the Conditions of Residence Living for your records.

I. STUDENT INFORMATION

Applicant Name
My permanent address is located within:(Required)
Permanent Address(Required)
Permanent Address(Required)
Permanent Address(Required)

By providing a cell phone number, I consent to receive SMS/text messages from Five Towns College.
Date of Birth(Required)
Sex(Required)
What time of room do you request?(Required)
Please note- there is limited availability of single rooms and no guarantee that this can be assigned

Emergency Contact Person(Required)
Please enter the name, relationship, and number of a person who should be contacted in the case of an emergency. You can add more than one person by hitting the plus (+) button.
Name
Relationship
Telephone Number
 

  • I am applying for campus housing as a Five Towns College student. I understand that if I receive a housing assignment, and I decide not to attend Five Towns College that I must notify the College in writing prior to July 1 st for the Fall Semester and January 2nd for the Spring Semester to receive a full refund of my housing deposit.
  • I understand that I will be held responsible for the payment of the residence fees in accordance with terms and conditions set forth in the Five Towns College Catalog and Residence Life Handbook, which is incorporated herein by reference.
  • Room assignments are made without regard to race, religion, color, creed, national origin or veteran status. The Residence Life Office merely attempts to match roommates on the basis of similar living habits and interests.
  • The Meal Plan is mandatory for all students living on campus.
  • Five Towns College has a no-smoking policy in the Residence Halls and Campus Buildings. There are just a few designated smoking areas outside on campus.
  • Motor Vehicles are permitted on campus as long as they are registered in the Public Safety Office.
  • If approved, my Residence Hall license shall remain in full effect while I reside on campus but may be revoked for any violation of its terms and conditions.
  • I hereby assume all risk incident to my residence at Five Towns College and agree to indemnify and save harmless Five Towns College Real Property Trust, Five Towns College, its employees, agents, and assignees from and against all losses, claims, actions, suits, expenses, liabilities, damages, or legal fees on the account of any loss, or injury to persons or property incurred by or caused by the acts of the undersigned, except for gross negligence on the part of the College.
  • Additionally, I understand and agree that college officials may conduct a search of my room on occasion and pursuant to the Residence Life Handbook and this Student Housing Application if there is reason to believe that violations and/or unlawful events have taken place or, in any event, for health and safety inspections as stated therein.
Application Agreement(Required)
Name(Required)
Date: 03/20/2023

Are you under 18 years of age?
(required if student is under 18 years of age)
Name of Parent or Guardian(Required)
Date: 03/20/2023

II. Roommate Assignment Questions

What is your expected class status for next year?(Required)
Are you a transfer student?(Required)
Do you have a roommate preference?(Required)
Name of roommate
Indicate any medical/physical or emotional conditions that should be considered when making a room/roommate assignment, including whether you have any ALLERGIES and what they are, ie. seasonal, food, and/or any other. Please provide medical documentation, if none indicate “None”.

III. LIFESTYLE CONSIDERATIONS

Which statement best describes you?(Required)
How do you feel about groups of people socializing in your room?(Required)
I like to study quietly late at night in my room(Required)
I am a smoker.(Required)
Do you like to listen to music or watch television when you go to bed?(Required)
Which statement best describes your standards for the condition of your room?
I like the following music (check all that apply):
Who are some of your favorite music artists/bands?
Please list one per line. Click the plus (+) button to add more.

IV. ROOMMATE QUESTIONS

(Meaning do you need silence, do you like to listen to music, etc.)
Do you play any instruments?
What instruments do you play?
Please list one per line. Click the plus (+) sign to add more than one.
Will you play musical instruments in your room?

Review and Submit

Please confirm that the following information that you have entered is correct: {all_fields}

Five Towns College

305 North Service Road,
Dix Hills, NY 11746
Phone: 631.656.2110
Fax: 631.656.2172

If you're serious about music, business, education, media
and the performing arts . . .
Come to Long Island!


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