Southwest Texas Junior College

Student Housing Application

 

 

 

 

 

        Date:__________________________________________________________________________________

 

        Name:_________________________________________________________________________________

 

        Social Security Number:___________________________________________________________________

 

        Address:_______________________________________________________________________________

 

        City:_______________________________________________ State:______________ Zip:____________

 

        Telephone: (_____) ______________________________________________________________________

 

        Roommate Preference:                1st Choice  ___________________________________________________

 

                                                            2nd Choice ___________________________________________________

 

        Major:_________________________________________________________________________________

 

        Deposit is for:

       

 

 

      Fall Semester                      Spring Semester                 Summer Session I                      Summer Session II

 

 

        Dorm Preference:

 

 

                                       Ettie R. Garner Hall (Women Only)                                                                       Hubbard Hall (Co-Ed)

 

 

        A $75 deposit (check or money order) is required in order to reserve a room.  If a room is reserved for a student and he/she does not occupy this room or moves before the end of the semester, the deposit is forfeited.  The deposit will be refunded only if a written request is received by the Dean of Admissions and Student Services no later than August 1 of each fall semester and January 5 of each spring semester.  Please make checks payable to SWTJC.

 

 

      

 

         Return this application and deposit to:        Dean of Admissions and Student Services

                                                           Southwest Texas Junior College

                                                           2401 Garner Field Road