Residence Hall Application Form

Name*
First Middle Last
Preferred Name
Gender*
Date of Birth*
Do you plan to live on campus?*
- Yes
- No
Living in the residence hall plays an essential role in a student’s life. Therefore, Manhattan Christian College requires all students enrolled in six or more credit hours to live in the residence halls for the first two years after high school graduation. The only exceptions to this rule apply to students who are, married, at least 21 years old, or have parents who reside within Manhattan, KS city limits (in which case, the student must live with the parents/guardians). If you have questions or concerns please email student.life@mccks.edu
If No, Check any that apply.
- I am married.
- I am 21 years old or older
- I will be residing with my parents in Manhattan, KS.
- None of the above apply (you will continue on to the application)
Living in the residence hall plays an essential role in a student’s life. Therefore, Manhattan Christian College requires all students enrolled in six or more credit hours to live in the residence halls for the first two years after high school graduation. The only exceptions to this rule apply to students who are, married, at least 21 years old, or have parents who reside within Manhattan, KS city limits (in which case, the student must live with the parents/guardians). If you have questions or concerns please email student.life@mccks.edu

Address*
Street Address City State ZIP Code
Primary Phone*
Email*
I plan to start MCC courses in the...*
Person to be notified in case of accident or illness.*

(Name, Relationship, Phone)
High School Graduation Date*
My current (or high school) GPA

(Approximate)
Incoming College Academic Classification*
Intended Program of Study*
The approximate population of my hometown/rural area
Hometown Church
Church Denomination*
Brefly describe your church involvement*
I would prefer a roommate who would keep the room neat and clean*
I like to stay up late at night (past midnight)*
I usually get up early in the morning (before 8:00 am)*
How do you consider yourself?*
List three hobbies you enjoy
Please list physical conditions which would require consideration
UntitledPlease give details of any physical, mental or emotional problem(s) you have had in the last five years
Please list any medications you are currently taking
If available, would you like to be in a quiet, study-intensive suite/floor?
- Yes
- No
Other specifics you would like us to consider in matching you with a roommate
Roommate Choice(s)

If you already have someone you would like to be your roommate, please list them here. Be sure to have the person you list also list you on their application.
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