Iowa Central Room & Board Contract

The Room and Board Contract between Iowa Central Community College and applicant is for one full academic year beginning with the fall semester and ending at the end of the spring semester and academic year.

Before submitting this contract, please read the terms and conditions of room and board contract

Please Note: Any resident who does not complete the contract agreement will be assessed a $600.00 Violation of Contract Fee. The Violation of Contract Fee will not apply for the following reasons: marriage, death, graduation, or if the resident notifies the College that he/she will be transferring before the end of the Contract Agreement.

Start Term: Fall Spring
Applicants College Classification: Freshman Sophomore
First Name:		Middle Name/Initial:
Last Name:		Sex:	Male Female
SSN:		Birthdate:
Address:
City:		State:
Zip Code:		Home Phone:
E-mail
Parent or Guardian Information
Name:
Address:		City:
State:		Zip Code:
Home Phone:
Roomate/Special Needs/Meal Plan
Roomate preference, by name/Roomate Preference by Academic Program:
Click here if you have special needs to be considered in making your assignment Click here if you DO NOT have special needs to be considered in making your assignment
*Meal Plan Options
Room & Board/19 meals per week - $4850.00 *subject to change after Board approval and prior beginning of contract year.
Please read Terms and Conditions before submitting this contract. This contract will not be processed unless all information requested above and the deposits have been received.
I hereby apply for a Room-and-Board contract for the academic year or the balance thereof. I have read and agree to abide by the terms and conditions of the Room-and-Board Contract as stated. I will send the $100.00 non-refundable application fee. Check or money order has been made payable to: Iowa Central Community College. Send the damage deposit and application fee to: Iowa Central Community College 330 Avenue M, Fort Dodge, IA 50501