Student Information

Before completed the Residence Hall Application, confirmation of completion of the JCC Application for Admission is required. Have you completed a JCC Application for Admission?

If you have not yet applied for admission, Please click here and complete the application for admission prior to submitting a residence hall application.

First Name

Last Name

Preferred First Name

Gender Identity

Birthdate

Do you know your JCC ID Number?

Please reference your JCC Acceptance Letter or call 315.786.6544 for confirm this information.

Please input your JCC ID

Personal Email Address

Parent/Guardian Email (Optional)

Cell Phone Number

Required Information

Current JCC housing status:

Select the term for which you are applying for:

Are you a New York State Resident?

Are you an International Student? (Enrolling at JCC with an F-1 Visa)

Have you ever been convicted of a felony?

Have you applied for or are presently part of JCC Opportunity Programs? (This includes CSTEP, ASAP, or TRIO)

Opportunity Programs

Jefferson has several programs that open up opportunities for students like you who are entering a certain career field, are first time College students, or have some other situations. These programs support student success, may provide financial support, and so much more! Click the link to apply.

Required Acknowledgements

Please check the boxes below to acknowledge and accept the following requirements:

I must pay the $250 housing deposit in order to receive my room assignment.

The meal plan is required for all residence hall students. The meal plan cost will be added to my bill automatically.

I must submit my immunization records (childhood shot records) in order to receive my room assignment.

Please check the boxes below to acknowledge and accept the following requirements:

My FAFSA must be completed and fully processed by the college in order to receive my room assignment or I will make full payment of my student bill or be enrolled in an active payment that will cover my full bill before the close of the semester.

Federal grants (FAFSA) only cover part of my bill. I will plan to take out student loans, set up a payment plan, or pay out of pocket to cover the remainder of my bill.

Please check the boxes below to acknowledge and accept the following requirements:

I must obtain a Certificate of Residency and send it to the college in order to receive my room assignment.

In addition to the FAFSA, I must have TAP completed and processed by the college in order to receive my room assignment.

Please check the boxes below to acknowledge and accept the following requirements:

I will pay the full required international student deposit of $3,500 in order to receive my room assignment.

Payment must be made in full or a payment plan must be in place before i can receive my room assignment.

Housing Information

What is your intended academic major?

Please indicate your room preference:

Single rooms are limited and available on a first come, first serve basis by date deposit and application are received.

Please indicate your first and second preferences:

I prefer a 4 person quad

I prefer a 5 person suite

I prefer a 6 person suite

No preference

Please indicate your first and second preferences:

I prefer a 5 person suite

I prefer a 6 person suite

No preference

Please select a meal plan:

Do you require any special accommodations that would affect your room housing assignment or meal plan?

If yes, please contact Coordinator of Student Accommodations and Testing Services Tanya Hoistion, 315-786-2335, or email and provide the necessary paperwork to support the accommodation as soon as possible to expedite room assignments. (No later than six weeks prior to the start of classes.)

Do you have any known allergies?

If you have a particular person you want to room with, type or write their name here. (NOTE: Roommate requests must be mutual.)

You may request to share a room and/or a suite with other resident student(s) as a long as they are also eligible for housing, have paid the $250.00 housing deposit, and completed the Residence Life Application. Although every effort will be made to honor your request, there is no guarantee. We will assign students on the basis of space availability and established policies. Please note that the roommate your are requesting must also request to live with you.

Would you feel comfortable sharing a room/suite with a resident who has been approved to have an ESA (emotional support animal)?

Yes

Roommate Name:

Suitemate Name:

Describe your ideal roommate relationship.

Doing everything together

Being friends

Being respectful and peacefully coexisting

How do you feel about your roommate using your belongings?

Never a problem using any of my things

Ok, but only after asking permission

Ok with electronics, but not my personal items

Not Okay. My roommate should not use any of my belongings

On a scale of 1-5 with 5 being cleanest how clean do you prefer your room to be?

When does your average day begin?

Before 8AM

Between 8AM and 10AM

After 10AM

When do you go to sleep, on average?

Before 11PM

Between 11PM and 1AM

After 1AM

How would you describe your sleeping habits?

Heavy sleeper (can sleep through noise, lights, etc.)

Light sleeper (require silence and darkness)

In between

Other Club:

Describe your personality:

Introvert

Extrovert

Describe your preferred roommate personality:

Introvert

Extrovert

How social do you prefer your room to be?

Quiet with minimal guests

Welcoming to one or two friends at a time

A lively social center where everyone hangs out

How do you study?

I require absolute silence

I like low background music

I prefer listening to music or watching television

I leave the room

How would you prefer your roommate respond if he/she were angry/frustrated with you?

Talk to me about it right away

Wait to see if the feelings subside

Talk to me about it later, after cooling down

Talk to our RA

How would you respond if you were angry/frustrated with your roommate?

Talk to him/her about it right away

Wait to see if the feelings subside

Talk to him/her about it later, after cooling down

Talk to our RA

Generally, rooms are assigned to students of the same gender. Jefferson Community College affirmatively supports the Lesbian, Gay, Bisexual, Transgender and Ally (LGBTA) community. Gender inclusive rooms may be available where students, regardless of sex, gender or gender identity, share the same bedroom. All East Hall suites have private single-use bathrooms. Are you interested in a gender-inclusive room assignment?

Yes, interested

No, not interested

Maybe, need more information

Please provide any other important information that should be taken into consideration when placing you in the residence halls. None of the information taken in this survey will be shared outside of the Office of Housing & Residence Life.

Questions? The Residence Life Handbook has many answers to your questions You may also contact the Office of Housing & Residence Life at reslife@sunyjefferson.edu or 315-755-0411.

Jefferson Community College Website

Residence Hall Application

Opportunity Programs