Dutchess Community College: Dorm Inquiry Form

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Dorm Inquiry Form

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Yes! I'm interested in attending Dutchess Community College full time and living in the on-campus student housing. Please add me to your contact list so I can get updates and special notices about housing application deadlines.

Please be sure to fill in all fields!

Are you currently a DCC student? Yes No
If yes:

When are you graduating from DCC?

Are you currently a high school student? Yes No
If yes:

What is the name of your high school?
What is the city and state of your high school?
When will you graduate from high school?
What is your overall high school average?
Please note: Unless you are a resident of Dutchess or Putnam county, you must have a final high school average of at least 70 to be eligible to live in the DCC residence hall.

Have you graduated from high school? Yes No
If yes:

What year did you graduate from high school?

Are you the parent or guardian of a student who may be interested in the DCC dorm?

Yes No

First Name
Last Name
Address
Address 2	(apartment, building, floor, etc.)
City
State
Zip Code
Phone	( ) -
	Mobile phone Home phone Providing your mobile number will enable us to send text updates, too!
E-mail Address
Gender	Male Female
Birth Month and Year	/ (mm/yyyy)