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    Residence Hall Request

  • Thanks for your interest in Southeastern Community College!
    We look forward to serving your educational and residential needs. Please carefully read and complete this residence hall reservation form. The required $300 deposit for accepted students confirms your attendance and reserves your placement in the residence halls. The following information is very important to us as we plan for your residential life on campus. Complete this entire form, then send a check/money order for $300 ($250 Damage Deposit/$50 nonrefundable Reservation Fee) to Residence Life Coordinator, SCC, 1500 W. Agency Road, West Burlington, IA 52655 or visit the business office to pay in person via check, cash, or credit card.

  • *If you are interested in our summer housing options, please contact the Residence Life Office for the proper form.

  • Personal Information

  • Student Characteristics

  • *please note that our residence halls are smoke-free

  • Request for Housing Accomodation

    Southeastern Community College is aware of the importance of providing reasonable accommodations to students due to a barrier associated with a documented disability. As with all accommodations, housing accommodations are very individualized in nature and must be directly related to the impact of the student’s diagnosed disability. Student’s must complete an intake/orientation with the Accessibility Services Office and become registered with that office. Students requesting housing accommodations must submit a completed Application for Accommodations in the SCC housing environment. All disabilities must be documented by a licensed provider with expertise in the area of diagnosis.  Please remember that the accommodation request is necessary to provide you an equal opportunity to enjoy student housing. The Accessibility Services Office will provide a Medical Verification form that you can take to your medical provider. The medical documentation will reside with the Accessibility Services Office due to the nature of the material shared, and confidentiality requirements. We cannot guarantee that Accessibility Services Office and Housing will be able to meet applicants late requests for accommodation needs.

  • To request accommodations based on the impact of a disability, please contact the Accessibility Coordinator. The Coordinator can be reached by calling Angie Mickelson at 319-208-5167 or 319-313-1985 or email amickelson@scciowa.edu

  • Residence Hall Housing Options

    • All assignments are made on a first come, first served basis.
    • A $300 deposit is required to reserve your room.
    • Residence halls are smoke-free.
    • Meal plans are mandatory for all West Burlington Campus SCC residents during the academic year.

    Housing options are outlined below. Rates are figured per person. Please check the room option that fits you best.

  • Contractual Responsibilities

    • I hereby reserve a room for housing for the academic year/term indicated on this form and will send a check or money order for $300 to cover my damage deposit and reservation fee ($50 non-refundable).
    • I understand that if I want to cancel my reservation, I must do so at least 30 days prior to the first day of class of the college term specified in order to receive my $250 damage deposit refund.
    • I also understand that if the College has no available space in the residence halls, the deposit and reservation fee (total $300) will be returned to me.
  • The Next Step

  • After completing this form, send a check/money order for $300 ($250 damage deposit/$50 nonrefundable reservation fee) to Residence Life Coordinator, SCC, 1500 W. Agency Road, West Burlington, IA 52655

    Or visit the business office to pay in person via check, cash, or credit card.

    Upon receiving your completed residence hall reservation form, the College will send you a housing and dining contract to complete and return in the postage-paid envelope accompanying the contract. You will also be sent a copy of this completed reservation form to retain for your records. After we have received your reservation form, the $300 deposit, and housing/dining contract – your file will be complete. You will receive a letter that confirms your assigned room and roommates, a copy of your contract, a bill for the amount due, and move-in information. Please note that the Residence Life Department starts making room assignments for the fall semester in July.

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