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Online Housing Application

Two easy steps to register
Please use this form to submit your housing accommodation request.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 9 alpha numeric characters.
  4. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information

Questions

  1.  
    Primary Disability
  2.  
    Is your disability ___ ? * (Selection is Required)
  3.  
    I understand that I need to resubmit documentation and my accommodation request each year. * (Selection is Required)
  4.  
    I understand that purchasing documentation to support my housing accommodation request is prohibited and may result in my application being considered incomplete. * (Selection is Required)
  5.  
    If this request is for an Emotional Support Animal, I certify that I have read the "TAMUCC Rules and Regulations regarding ESAs". * (Selection is Required)
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