Commuter College Application

Use this application to apply for the Commuter College.

Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Date of Birth * / MM / DD YYYY
Student ID

Please enter your student ID if you know it. It is on your acceptance letter.
Primary Phone Number * - (###) - ### ####
Cell Phone - (###) - ### ####
Email *

Please use an email address that you check daily.
Do you use Facebook? * Yes, and you can contact me on Facebook Yes, but do not contact me on Facebook. No, I do not use Facebook
Are you currently attending high school? * Yes No
Major or Intended Major
Academic Interests:

Note: While we do our best, we cannot guarantee roommate preferences. If you have further questions or concerns about roommate policies, contact the Housing Office.
Do you have children? Yes No
Where will you be living?
Type of Residence (apartment, house, etc.)?
On which days do you plan to come to campus? Mondays Tuesdays Wednesdays Thursdays Fridays
How much time do you plan to spend on campus outside of class time?