Nyweide-Scott Apartments Rental Application

Student Information

Female       Male

(select one) 5-Month Fall (8/22/20 - 12/18/20)
5-Month Spring (11/16/20 - 5/20/21)
10-Month (8/22/20 - 5/20/21)
12-Month (8/22/20 - 8/6/21)

(select all that apply) One Time Payment ($1875* or $2250**/semester)
Payment Plan (NBS Management) www.eicc.edu/nbs
Financial Aid/Direct Loan Application Filed

* **Rental Fees for 2020-2021 academic year are subject to board approval

(select one)
Single (1 bedroom, shared bathroom) - $375/month
Suite (2 bedroom, private bathroom) - $450/month**

You must initial indicating you have read and understand the following before submitting the form:

I understand that payment must be made in full, a NBS payment plan established, or direct loan application filed on or before rent due dates*.

*Rent due: August 10, 2020; January 5, 2021; May 18, 2021


Roommate Matching Questionnaire

Very Private
Very Social
Messy – I drop my stuff right where I’m standing, and it stays there until I need it again.
Casual – My space is fairly clean with some clutter.
Neat – I am orderly, clean, and tidy.

For consideration for residency, you must complete and submit the following to Nyweide-Scott Apartments:

  • Rental Application
  • Housing Contract
  • Fitness Center Waiver
  • Background Inquiry Form
  • Vehicle Registration Form
  • $35 Application Fee
  • $250 Security Deposit

I, the UNDERSIGNED APPLICANT, affirm that the information contained in this two-page application is true and correct, and I authorize MCC Nyweide-Scott Apartments to verify all information contained in this application. Misstatements, either false or incorrect, are reason for denial of occupancy. I understand that roommate preferences are filled based on availability and are not guaranteed. I agree to accept a room and roommates assigned by MCC. I understand a method of payment must be made in full by rent due dates.


By entering your name you are signing this document.

It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. §§ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.).

If you have questions or complaints related to compliance with this policy, please contact Debora J. Sullivan, Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-3487, djsullivan@eicc.edu or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 West Madison Street, Suite 1475, Chicago, Illinois 60661-7204, phone number 312-730-1560, fax 312-730-1576, OCR.Chicago@ed.gov.