Tri-State High School Equivalency Program (HEP) Application

Housing Application

Parent/Guardian Name(Required)
Semester Applying For(Required)
Applicant Status(Required)
Share Permission


Housing Preference 1
Housing Preference 2
Housing Preference 3
Room Temperature Preference
Sleeping and Waking
Noise Level
Entertain in Dorm Room
Study Habits
Disability Housing Accommodations

Award Activity Scholarship

(Please select each program you will be a part of)
Please notify the Dorm Office if activity scholarship is awarded after completion of Housing Application via email:
Have you ever entered a guilty plea to a felony offense, been placed on probation for or entered into a diversion program for a felony offense or been convicted of a felony?
Admissions Application
Immunization Records
Application Fee

All three above requirements MUST be met before the student will be considered for placement in FSCC housing. Meeting these above requirements does not guarantee housing placement.

MM slash DD slash YYYY
Required Immunizations

You are required to fax immunizations to (620) 223-4927, email them to Alyssa Martin at, or mail them to: FSCC – Housing Office, 2108 S. Horton, Fort Scott, KS 66701.

  • MMR 1/MMR2 Shots
  • Meningococcal Vaccine

This documentation is required as part of a completed dorm/housing application

Placement Process

Prior to the beginning of the semester, applicants will be notified via email if the application has been approved. If applicants fail to receive an approval email prior to August 1, they maintain their place on the waiting list by leaving a application fee. Refunds are granted by written request only, which removes the student’s name from consideration. Once FSCC has assigned/reserved a room in your name, your application fee will not be refunded. Spring Semester application fee refunds can be processed up until January 1. Any requests made after this date will not be processed for a refund. All refunds must be requested in writing by the student to the Housing Director via email at

All residents are expected to comply with all policies and procedures as stated in the FSCC Housing Handbook. FSCC has the right to refuse placement to students who have previously been placed on probation or suspension for any previous violations of the FSCC Housing Handbook.

Notice of Nondiscrimination

Fort Scott Community College does not discriminate on the basis of race, color, national origin, sex, age, religion or disability in admission or access to its programs and activities.