Online Residence Application Form

Residence

Use this form to apply for a room in residence. NOTE: ALL correspondence from the Residence Office to you will be sent by email. You will receive an email from us when we receive this form. Make sure to check your spam/junk mail and set up @lambtoncollege.ca as a trusted sender.

* - indicates a required field

Personal Data

Last Name: *
First Name: *
Gender: *
Lambton College Student Number: * It will be in the following format: c1234567.
Telephone # with area code: *
E-mail Address: *
Personal Photo: *

Please attach a RECENT photo of yourself. We require this before we can finalize your spot in residence. This photo is for administrative use only. Photos may be in JPG, GIF or PNG formats and must be less than 2 MB in size.

International Students:

Please attach a copy of your approved VISA document. Due to the high demand for Residence beds, we cannot confirm you will have a bed in residence until we have this documentation. Documents may be in Word, JPG or PDF format and must be less than 2 MB in size.

Residence Data

Residence term(s) for which you are applying: *






Start Date:
End Date:

Residence Room-mate:
(This is for the name of a specific person with whom you wish to share your room. They must also put your name on their application before this will be considered.)
Neighbour:
(This is for the name of a specific person whom you wish to live near. The other student must also put your name on their application before this will be considered.)

Emergency Contact Information

Please provide us with the name of the person you would like us to contact in the event of an emergency.
Last Name: *
First Name: *
Telephone # with area code: *
Second telephone # with area code:
Please list any health conditions you believe the Residence Office needs to be aware of:

Personal Habits & Social Activity Level

How physically active are you? * Low High
Do you smoke? *

Do you drink alcohol? *

When it comes to drugs, you? *


You enjoy playing video games: *

You are especially sensitive to noise: *
You are a: *

You study: *

You like to keep your space: *


It would be OK if my roommate is:


Additional comments you feel would be helpful for us to know about you:

Payment Information

  • Upon receipt of your application, the college will email you an acknowledgement within 5 business days. Check your email regularly.
  • The $250 damage deposit charge will be posted on your student account.
  • You will have 3 business days after it is posted to pay the deposit.
  • If you have not paid by the deadline, your application will be considered void and your spot given to another student.
  • If you have any questions, please contact the Residence office.

By submitting this application to live in residence at lambton College, I am indicating that I have read, understood, and agree to the terms and conditions for living in residence as presented in the Residence Handbook and on the College website. I further affirm that I have discussed the terms and conditions with my legal guardian, if I am under the age of 18 when submitting this application, and have their approval to submit this application.