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Now Accepting Applications!

To be considered, all applications will be accepted in the order received and must be accompanied by a non-refundable deposit of $275. Once your application is accepted, we will forward you additional information, including roommate selection forms and final rental agreements. In the event College Suites is full, we will contact you. At that time, you may elect to be on a waiting list, or request that your deposit be returned.

Please fill out the form below to be included on our interested party list.

For more information please call 716.731.8850

Click here to download an application.

For a copy of our brochure click here.

Application

Please note that your electronic application is considered pending on file until we receive your deposit, at which time, your name will be placed on the housing list. Don’t delay - submit your security deposit today! You should clearly reference your name on the check. Please mail to: The Village College Suites at NCCC, 3115 Saunders Settlement Road, Sanborn, NY 14132. If you have any questions, please feel free to contact us at 716.731.8850 or refer to the Application Fee Policy for further information on the payment and the refund policy.

Click here to print application the 2009-2010 application.

Apply online now.

Personal & Emergency Information
First Name
MI
Last Name
Current Address
City
State
Zip/Postal Code
Telephone #
Cell #
Email
Date of Birth
SSN
Alternative Contact
Name
Daytime Phone
Evening Phone
Academic Information
 New Student   Returning Student
Term Begins
Term Ends
Check one that Applies
  9 Month Academic Year   Summer Term
  Other Term  
Apartment Request
 4 bedroom/2 bathroom   2 bedroom doubles/1 bathroom
 2 bedroom/1 bathroom
Roommate Matching Information
  Male    Female    Smoker
Referred by/source
MySpace Facebook
Email NCCC Website
Snail Mail Campus Event
On Campus Posters Friend or Other
I was referred by:
Parking space needed?   Yes   No
Requesting Disabled/Medical Accessibility    Yes    No  
Have you ever been dismissed from another college?   Yes   No
Have you ever been convicted of a felony?   Yes   No

Requested Apartment Roommates (optional)
Name   Name  
Name  

Listed roommates must request and agree to assignment.

Application Process Fee
Please enter your billing details below or use the PayPal Express option below
First Name:
Last Name:
Card Type:
Card Number:
Expiration Date:
Card Verification Number:
Billing Address:
Address 1:
Address 2: (optional)
City:
State/Province:
ZIP Code: (5 or 9 digits)
Country:
Amount: $275 + $8.50 processing fee

Students residing at The Village College Suites at NCCC are expected to conduct themselves in a manner appropriate to an academic community living environment. I warrant that all statements above set forth, to the best of my knowledge are true and correct. I understand that deliberately submitting false information or withholding information constitutes fraud. Federal law specifies fines up to $10,000 and prison terms up to five years for fraud and may be grounds for eviction.

I also understand that this form is only an application for residency and that the submission of this application does not reserve nor in any way guarantee an apartment or bedroom.

 I understand and agree to the set terms
above and within the Security Deposit/Application Fee Policy   
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