Personal Information *required fields


*required
*required
*LAST NAME *FIRST MIDDLE

*required
*required
*required
*required
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*PERMANENT MAILING ADDRESS *CITY *STATE/PROVINCE *ZIP CODE *COUNTRY

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*requiredInvalid format.
*HOME PHONE CELL PHONE *EMAIL
MALE   FEMALE   OTHER A value is required. - A value is required. - A value is required.
*required
GENDER *DATE OF BIRTH (mm-dd-yyyy) *CCS STUDENT ID NUMBER (#######)
NEW    RETURNING    TRANSFER NO    YES
STUDENT STATUS ARE YOU AN INTERNATIONAL STUDENT?
FALL 10 AND WINTER 11   WINTER 11 ONLY 1st YEAR   2nd YEAR   3rd YEAR   4th YEAR   5th YEAR   MFA
SEMESTER(S) REQUESTING HOUSING OVERALL CLASS STANDING WHEN YOU ARRIVE
HOUSING OPTION - Please rank your preferences, 1 is your first choice. Pick your meal plan choice for each option.
*Preference
 Room Type: Choose meal plan:

Please select a valid item.Please select an item.
 4-6 person ACB suite (view sample layout) required


1450 dining dollars per semester - $3450

Please make a selection.

Please select a valid item. Please select an item.
 2-3 person ACB suite (view sample layout) required




Please make a selection.

Please select a valid item. Please select an item.

2-3 person Taubman loft (view sample layout)

 required



Please make a selection.

(We cannot guarantee you will receive your housing preference. See suite assignment policy.)

REQUESTED SUITE: 1ST CHOICE:     2ND CHOICE:
REQUESTED SUITE MATES:
All suite mate requests and housing preferences must be mutual
YOUR INTENDED MAJOR          
Advertising Design Entertainment Arts Art Education Crafts Fine Arts Graphic Design
Illustration Interior Design Photography Product Design Transportation Design Undecided
PLEASE CHECK      
How orderly and/or neat do you consider yourself? Very Moderate Not
Are you a late night person? Yes No  
Do you like to study with music or the television on? Yes No  
What level of social activities do you prefer? High Medium Low
Would you like to live with someone in your major? Yes No Does not matter
Do you want to live with a vegetarian? Yes No Does not matter
Are you physically able to climb more than three flight of stairs? Yes No  
Will you have a car on campus? Yes No  
Do you smoke?
Note: Housing is smoke free.
This also includes 15 feet in front of any doorway.		 Yes No  
Would you like to live with someone who smokes? Does not matter No  

What are your expectations of a suite mate?

Please use this space to add any additional comments that could affect your housing placement or will help us get to know you better.
Suite and suite mate assignments are made without regard to race, creed, color, affectual/sexual orientation, religion or national origins.

 

Emergency Contact Information *required fields


One emergency contact is required.
A value is required.
A value is required.
*EMERGENCY CONTACT PERSON *RELATIONSHIP TO YOU *HOME PHONE

A value is required.
*ADDRESS (Include City & State) CELL PHONE WORK PHONE
EMERGENCY CONTACT PERSON RELATIONSHIP TO YOU HOME PHONE
ADDRESS (Include City & State) CELL PHONE WORK PHONE

 


A value is required.
A value is required.
*LOCAL DOCTOR'S NAME (Click here for assistance in finding a doctor)
 *DOCTOR'S PHONE

A value is required.
A value is required.
*STREET ADDRESS *CITY

 

Medical Treatment Release *required fields

I hereby grant officials at the College for Creative Studies (CCS) permission to authorize emergency medical treatment, care and services while I am enrolled at CCS. I fully understand that authorization in no way relieves me of any financial or other obligations related to the decisions made by CCS officials and agree to be responsible for all incurred medical expenses. In the event that CCS incurs expenses for medical treatment, I agree to reimburse CCS in full.

Please type in name as agreement to the above Medical Treatment Release


A value is required.
A value is required.Invalid format.
*NAME *DATE

 

Insurance Information *required fields


A value is required.
A value is required.
*INSURANCE COMPANY *INSURANCE CARD HOLDER

A value is required.
A value is required.
A value is required.
*CONTRACT# *GROUP# *COMPANY PHONE

Please us this space to add any additional information regarding your insurance company.

Resident Acknowledgment *required fields

Please read the Resident Acknowledgment here. You may also want to print off a copy for your records.

I have read this Acknowledgment and agree to be bound by it:


A value is required.
*APPLICANT'S NAME

A value is required.
*US DRIVER'S LICENSE or STATE ID or INTERNATIONAL PASSPORT #
PARENT OR GUARDIAN'S NAME (If applicant is under the age of 18)

By clicking submit you are stating that you agree to the terms listed in the Suite Assignment Policy and the Resident Acknowledgement.
and that all of the information you have provided is accurate and legitimate.

A confirmation email will be sent to the address you have entered.
If you do not receive a confirmation email after clicking submit or you have further questions
regarding your housing application, please contact housing@collegeforcreativestudies.edu.

   

If application does not submit, please scroll back make sure all required fields are filled in.