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Campus Safety Crime Report

The OPE Campus Security Statistics Website is brought to you by the Office of Post secondary Education of the U.S. Department of Education.

The OPE Campus Security Statistics Website is your direct link to reported criminal offenses for over 6000 colleges and universities in the United States.

 

DCC Home » Student Life » Residence Life


Housing Application

Please complete the following form if you would like to live On-Campus. Your application will be sent to and reviewed by the Admissions Department at DCC. Before submitting your form, you must agree with the Residence Hall License Agreement Terms and Conditions.

Instructions: Please complete the form below to submit your donation to DCC. Click the 'Submit' once after completed. You will receive a confirmation once your form has been submitted. Please print this confirmation for your records. Thank you for giving to DCC!

Fields in bold are required.

First Name: Last Name:
Address: Apt or Suite:
City/State: / Zip Code:
Phone: E-mail:
Social Security No. - - Date of Birth
Gender:
Citizen:
Marital Status:
Ethnic Origin:
Term:
Fall  Spring
 High School Classification:
Emergency Contact Information
Emergency Contact: Phone:
Secondary Emergency Contact: Phone:
The information provided below will be used to assign roommates. Please answer honestly. The information provided remains confidential.
Preferred Roommate's Name:
Who would you prefer as your roommate?
If available, would you prefer a Private Room?
Yes No
Would you prefer someone who:
(Check all that apply)
Gets up early in the mornings
Stays up late at night
Is neat and organized
Is flexible about neatness
Likes loud music
Likes things quiet
Would you like your assigned roommate to receive your name, address and phone number?
Yes  No
I have received, read, understand and accept the Residence Hall License Agreement Terms and Conditions