Housing Application

Contact Information

First Name

Last Name

Hocking College Email Address

Confirm Hocking College Email Address

Address Line 1

Address Line 2

City

State

ZIP Code

Preferred Phone

Home Phone

Cell phone

Housing Information

Gender

First Building and Room Preference

Secondary Building and Room Preference

Third Building Preference

Do you have a preference in roomate?YesNo

Do you require an emotional support animal or service animal?YesNo

Preference on Roommate with Support Animal?YesNo

Have you received your Meningococcal Meningitis Vaccine?YesNo

Have you received your Hepatitis B VaccineYesNo

Comfortable with LGBT?

Personality Type

Additional Rooming Information

Have you ever been charged, indicted, or convicted of a felony?YesNo

Housing Application Submission

By submitting this Housing Application, I certify a $60 non-refundable Residence Life Housing Application fee will be assessed on my account. I also certify a $250 Housing Security Deposit will be assessed on my account. I understand that both the Residence Life Housing Application Fee and the Housing Security Deposit MUST be paid in full, prior to a room assignment being made.

Semester I plan to take classes:

Academic Program

You are applying for a selective admission program. Your program of study is being defaulted to Associate of Science and you can begin general classes the term for which you are applying. Once all admission requirements are met and you are accepted into the technical/clinical portion of the program your program will be changed to Dental Hygiene. This program is offered exclusively at the Hocking College Perry Campus in New Lexington, Ohio.

You are applying for a selective admission program. Your program of study is being defaulted to Associate of Science and you can begin general classes the term for which you are applying. Once all admission requirements are met and you are accepted into the technical/clinical portion of the program your program will be changed to Medical Laboratory. This program is offered exclusively at the Hocking College Logan Educational Site in Logan, Ohio.

You are applying for a selective admission program. Your program of study is being defaulted to Associate of Science and you can begin general classes the term for which you are applying. Once all admission requirements are met and you are accepted into the technical/clinical portion of the program your program will be changed to Nursing.

You are applying for a selective admission program. Your program of study is being defaulted to Associate of Science and you can begin general classes the term for which you are applying. Once all admission requirements are met and you are accepted into the technical/clinical portion of the program your program will be changed to Physical Therapist Assistant.