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First Name: |
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Middle Initial: |
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Last Name: |
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Birth Date: |
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Sex: |
Male
Female |
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Home Address: |
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City: |
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State: |
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Zip: |
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Home Telephone: |
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Intended Major: |
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Email: |
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Entering as a: |
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Please select a Meal Plan for the semester: |
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Unlimited
Meals, 2 guest passes & $150 in dining points for
$1,965/semester |
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Unlimited Meals & 2 guest passes for $1,890/semester |
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15 Meals per week for $1,790/semester |
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150 Meals & $100 in dining points for
$1,225/semester |
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100 Meals + $200 in dining points for $1,000/semester |
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No meal
plan |
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Off-Campus Address: |
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City: |
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State: |
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Zip: |
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Off-Campus Telephone: |
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Please note the
following guidelines: |
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Simply
wanting to live off-campus is not an extenuating
circumstance.
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Your
request must stand on its own merits. Circumstances
involving other students’ petitions will not be
factored into the decision making process.
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DO NOT sign a lease or make any commitments to a
landlord before receiving notice of your petition being
approved.
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Housing
contracts are signed for the full academic year.
Therefore, a request for off-campus housing in the
spring must demonstrate extreme circumstances, as it
requires your binding contract with the College to be
broken.
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Once
approved to move off-campus, if the student wishes to
move back onto campus, a room is not guaranteed.
Furthermore, the student will be given the lowest
priority to be housed.
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Living with parent/guardian (mail [USPS] letter of
permission and a photocopy of his/her driver’s license
to verify address) |
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Living with spouse and /or children (mail [USPS] marriage or
child’s birth certificate) |
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Financial hardship (provide a budget) Explain your financial hardship
in the text area below. |
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Medical/Health (Explain medical
situation below and mail [USPS] a note from your care provider documenting
the problem) |
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Other -
Please choose one and explain below:
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I give permission for College officials to verify my
responses and to obtain other relevant information
pertaining to my housing. |