Student Housing Application - 2019-2020 - Terms and Conditions of Occupancy - Advance Room Deposit

Oct 3, 2026

Uploaded by asba

Online student housing application for Farmingdale State College covering student identification, contact and academic details, roommate and lifestyle preferences, and any medical or disability requests requiring supporting documentation. Includes consent for release of contact information to a prospective roommate, signatures for student and parent/guardian, and student accounts processing sections. Provides terms and conditions for residence hall occupancy, validity of the residence license, payment responsibility, move-out deadlines, and the required written processes for cancellation or early termination, including fee and refund schedule rules.

LanguageEnglish

CategoryExam

FormatPDF

Pages3

Reading Time8 min

AccessFree to download

ONLINE APPLICATION

Student Housing Application

Living Options and Preferences

Terms and Conditions of Occupancy

Withdrawal from the Residence Halls

ONLINE APPLICATION Student Housing Application 2019-2020 Carefully read and complete this application. Completion of this application does not guarantee a room assignment. MAIL THIS APPLICATION and a check payable to “Farmingdale State” for the $50.00 Advance Room Deposit to: Farmingdale State College, Student Accounts Offce, Laffn Hall, 2350 Broadhollow Road, Farmingdale, NY 11735. Name: RAM ID \#: R - - DOB: / / Sex: M F Other Last First Middle Address: Cell Phone: ( ) Number Street Apt Home Phone: ( ) Town State Zip Code Email: Emergency Contact: Phone: ( ) Major: Class Status: Have you ever been convicted of a felony? o Yes o No LIVING OPTIONS: Assignments of all rooms are made without regard to race, color, creed, national origin or veteran status. Indicate any special requests you wish to have considered in your housing assignment in this section of the application. Not all special requests can be granted. Assignments are made on a space available basis. A. Do You Have A Roommate Preference? (Give Name) (All roommate requests should be mutual and applications submitted at approximately the same time.) B. I o smoke o do not smoke (Smoking is not allowed in any building on this campus.) C. I am an early riser. o Yes o No D. I like to go to sleep early at night. o Yes o No E. I like to study quietly late at night in my room. o Yes o No F. I consider myself as a person who is: o Untidy o Moderately o Neat o Very Neat G. Indicate if you have any medical concerns and/or disabilities and any other concerns that require special housing. A Doctor’s note and/or supporting documentation should be attached to this application. __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ I am applying for on-campus housing and understand that if I decide not to attend the College or live in the residence halls, I will notify Residence Life in writing at least 30 days prior to Resident Student Check in Day. Until this is done, I will be held responsible for the payment of residence fees. The $50.00 residence hall deposit fee will be forfeited if this 30 days notice is not given in writing. I will read and agree to comply with the “Conditions of Residence Living” and the “Residence Life Handbook”. This license is granted for the entire academic year and may be revoked for any violation of its terms and conditions. I understand that the College is not responsible for loss of personal property in the residence hall by fre, theft, or other cause. STUDENT’S SIGNATURE: DATE: / / *Initial here to permit release of contact information to your perspective roommate: PARENT/GUARDIAN SIGNATURE: DATE: / / (Required if student is under 18 years old) Student Accounts Use Only: Date: / / Cashier: RLO Offce Use Only: Building: Room: S D T RA Date : / / MONTH DAY YEAR I. TERMS AND CONDITIONS OF OCCUPANCY The complete terms and conditions are published in the Farmingdale State College Residence Life Handbook, which is incorporated herein by reference. 1. This license is for a residence hall assignment. Students are expected to conduct themselves in a manner which demonstrates due regard for their fellow residents. All rules of the residence halls and College must be followed, including those that are published in the Student Handbook, Residence Life Handbook, and in all Residence Life publications. 2. In order to reside on campus, you must be a registered student of Farmingdale State College. Preference will be given to those students who are matriculated and considered to be full time. 3. Students should be in good academic and disciplinary standing with the College. 4. The Residence License is valid for a full academic year, but can be invalidated if you

FAQs

Does submitting the application guarantee a room assignment?

No. Completion of the application does not guarantee a room assignment.

What is the advance room deposit and how is it paid?

The form states a $50.00 advance room deposit payable by check to “Farmingdale State,” sent by mail with the application.

What are the requirements to cancel or withdraw, and what deadlines apply?

Cancellation requires written notification to Residence Life by June 30; otherwise a $100 cancellation fee applies. Early termination requires a request submitted by November 1st, followed by an approved check-out process.

Oct 3, 2026

Uploaded by asba