Online Housing Application

This form is for Housing and Dining Accommodation requests only. If you are looking for academic accommodations, please use the following link.

This form does not substitute for the Housing Application. Housing and Dining Accommodations will be considered with an active Housing Contract signed.

By submitting this application, please understand that your application and documentation may be shared with need-to-know stakeholders in order to determine your eligibility for and/or implementation of your accommodation(s).

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name *:
Last Name *:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 7 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender *:
Pronouns:

Contact Information

Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address *:

Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Permanent Address Same as Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Additional Information

Campus Location(s)

McMinnville Campus

Online and Continuing Education

Portland Campus
Additional Note:

Page Tabs

Online Housing Application

Page Options

Campus Location(s)

Questions

Navigation

Home

Need Help?

Learning Support Services