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{
"HOWARD COLLEGE HOUSING APPLICATION": {
"Indicate the term and year for which you are applying": {
"Academic Year": "2025-2026",
"Mini": "18/05/2026",
"Summer I": "06/01/2026",
"Summer II": "07/06/2026",
"Spring": "13/01/2026"
},
"Name": {
"Last": "Johnson",
"First": "Emily",
"Middle": "Grace"
},
"Mailing Address": {
"City": "Austin",
"State": "Texas",
"Zip": "79720"
},
"E-Mail address": "jordan.martinez@example.com",
"SS#": "472859316",
"Howard College ID#": "10048273",
"Cell Phone #": "4325557291",
"Home Phone #": "4325551846",
"Ethnicity": "White",
"Date of Birth": "08/14/2004",
"Roommate Preference": "Alex Thompson",
"What is your area of study?": "Nursing",
"Will you be a member of any school sponsored team or organization?": "Yes, student government association",
"Emergency Contact Information": {
"Parent/Guardian Name(s)": "Michael and Sarah Johnson",
"Phone": {
"Work": "2125554389",
"Home": "7185559246"
},
"List a second contact": {
"Phone": "6465557812",
"value": "Emily Carter, aunt"
},
"Medical Information": {
"Policy #": "739284165",
"Group #": "482917",
"Insurance Company": "Blue Cross Blue Shield"
},
"Insurance is under what name?": "Michael Johnson",
"List any medications you are allergic to and/or medical conditions that may be pertinent to the type of medical attention you receive": "Allergic to penicillin; mild asthma treated with an inhaler as needed"
},
"Have you ever been convicted of a felony?": "Yes (if yes please explain on separate sheet of paper)",
"Date": "15/03/2024",
"Applicant Signature": "Michael Anderson",
"Sex": "Female"
}
}