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Jesse L. Jackson Center

HOUSING APPLICATION

Thank you for your interest in student housing!

Please fill out the form below completely and feel free

to contact us if you have questions or need assistance.

 

Courtney Standard

Director for Student Services

Simmons College of Kentucky

550 West Kentucky Street

Louisville, Kentucky 40203

Phone: 502-776-1443 Ext. 5172

cstandard@simmonscollegeky.edu

housing@simmonscollegeky.edu

Simmons College of Kentucky 2024-2025 Housing Application

This application is for the Fall 2024 and Spring 2025 semesters only.

Student Information

Student Name(Required)
Preferred Name (if different from above)
MM slash DD slash YYYY
Year in School(Required)

Student Gender(Required)

Please select "other" if none of the available options reflect your gender identity.
I currently participate in these Simmons Extracurricular Involvement(Required)
Emergency Contact Name(Required)

Hall Preferences

We will do our best to fulfill your request, but all request may not be able to be fulfilled due to time of application submission, requests of other students, personality matches, and other considerations.
Room Type Preference(Required)
I don't have a roommate in mind, but I would to live with:(Required)
I am willing to live with a service animal or emotional support animal(Required)

Room Preferences

Your room at college is your home. How clean do you want it to be?
I think my room on campus should primarily be used for:(Required)
I prefer the room temperature to be:(Required)
My room at home is usually:(Required)
At home, I do the following chores:(Required)

Social Preferences

When it comes to sharing with others:(Required)
I think guests should be able to visit:(Required)
When it comes to conflict, I usually:(Required)

Sleep Preferences

I sleep:(Required)
On the weekends and during the summer, I am a:(Required)
To function, I need ____ hours of sleep(Required)
In order for me to get my best sleep, I have to have (Check all that apply)

Interests

Of the following, ____ is the most important to me:(Required)
Acknowledgement and Authorization(Required)

1018 South 7th Street

Louisville, Kentucky 40203

(502) 776-1443

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All Rights Reserved

Simmons College of KY has been approved to participate in the National Council for State Authorization Reciprocity Agreements.

None of the Simmons College of KY programs lead to licensure.

Simmons College of Kentucky is nationally accredited by the Association of Biblical Higher Education

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