Housing Application

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Welcome to the Housing Intent Application for Umpqua Community College

The responses you provide on this application will be taken into consideration when making your room assignment. Once you have signed the Housing Agreement at the end of the application and completed all of the steps within the application, your application will be complete. You will receive an email confirming your application and informing you of your next steps.

Housing is available for out-of-area students and students representing or serving the institution. If you would like to know if you qualify, please contact housing@umpqua.edu.

*UCC housing contracts are available for either summer term or the entire academic year.

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Sex: *

Date of Birth- *

Are you a new or returning student? *

Are you planning on moving in for Summer of 2022 or Fall of 2022? *

? In what way will you be serving UCC (i.e. Umpqua Scholars, Athletics, Umpqua Singers)? *

If you are an athlete, which sport?

? Are you a resident of Douglas County? *

? What is your EFC? (Expected Family Contribution can be found from your Free Application for Federal Student Aid (FAFSA) form) *

Emergency Contact Name, phone number and email: *

? List Current Medications: *

? List Current Medical Conditions: *

? List specifics regarding any allergies: *

? Are you hearing impaired? *

Is there anything else that would be helpful for us to know? *

* required field