Family Housing Application

Eligibility Requirements-Fully accepted into UTTC, complete family housing application. Applicant must include copies of Birth Certificates. If applying as a couple, one adult is required to be a full-time UTTC Student and must maintain full-time UTTC student status (12 credits per semester)

$25.00 Non-Refundable Application Fee required to process this application. Once an applicant has been fully accepted, then he/she will be placed on the list.
Incomplete applications will not be accepted.
Money order or check Payable to: United Tribes Technical College
Credit Card payment Call: 701.255.3285 ext. 1425

 
I am applying for:     

Full legal name:
 
 Mailing Address:
 City:
 State: 
Zip Code: 
 Home Phone: 
Cell Phone: 
Emergency:  

 Date of Birth: 

Email:  

 



List All Members of the Household

HOH = Head of Household
SO = Significant Other
D = Daughter
S = Son

Are there any pending or custody issues?      
 If yes, please explain: 
  Name  Social Security Number Relationship   Date of Birth Age  Student
(Yes or No) 
1
2 
3
4
5 
6
 
 
 
Does your household have any needs that might be better served by a unit that is accessible to persons with mobility, hearing or visual impairments?  
If yes, please explain: 
 
 Who is your current landlord? 
Landlord phone number: 
 
 Have you ever been a tenant with UTTC housing in the past? 
 
 
  If yes, what was the length of residency? 
During occupancy were there any violations? 
Will ALL household members be attending school? 
.(Examples: Head Start, Elementary, Middle School, High School, UTTC College)
If no, please explain: 
 Any student applicant who has acknowledged that they are or have acknowledged that any member of their household has been convicted with a felony or designated as a violent or a sexual offender must disclose their offense and have their application approved prior to residing on campus in student housing.

I or a member of my household has been convicted of a felony or designated as a violent or sexual offender:  ​​​
If yes, name: 
nature of crime: 
date of crime:
Any student or any member of their household who is charged with a felony or designated as a violent or a sexual offender while living in campus student housing must report such a charge to the student housing department within 24 hours.  

I declare that I have read and understand the information in this application and that the information I have provided in this applications for UTTC Family Housing is true, and complete to the best of my knowledge. I hereby authorize UTTC to obtain any and all information necessary for the purpose of verifying the statements made. Furthermore, I understand the falsification or omission of any information is grounds for disqualification of my application. I understand that I must be a full-time student at all times to occupy UTTC family housing.
It is the applicant’s responsibility to notify UTTC Housing Department of any address or phone number changes. If you do not update your address, you will be removed from our waiting list.
 
Name of applicant (print) ​​​ 
Signature of Applicant:  
Date: 
 Name of spouse (print) ​​​ 
Signature of Spouse:  
Date: