Family and Graduate Student Housing Contract Prin Last Name ____________________________________________ by tracy14

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									                       Family and Graduate Student Housing Contract
Prin. Last Name: ____________________________________________ First Name: _____________________________
Middle Name: ______________________________________ Preferred Name/Nickname: _______________________
OSU Campus Wide ID Number : _____________________      Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female Email Address: ___________________________________________________________
Classification:  Fr  So  Jr  Sr  Grad Major: ______________________________________________
Home Address                                                          Emergency Address
                                                                      Emergency Contact Name: _______________________
Street Address: _____________________________________                 Street Address: ________________________________
Street Address 2: ____________________________________                Street Address 2: ______________________________
City: ________________________, State: ____ Zip: ________             City: __________________, State: ____ Zip: ________
Country: ___________________________________________                  Country: ______________________________________
Phone Number: _____________________________________                   Phone Number: ________________________________
Cell Phone Number: __________________________________                 Cell Phone Number: ____________________________
Other Personal Details and Family Related Data
Do you require any disability facilities?  Yes  No Are you an employee?  Yes  No
Employed by Department: ________________________________________________________
What is your family Status?  Single  Family  Single Parent  Married
If you plan on living with others, please fill the following data:
If you will be living with an unrelated person, he or she will need to be able to provide proof of connection with OSU.
Sec. Full Name: ____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female OSU Campus Wide ID Number: _______________________________
Date of Birth: ___/___/__ (MM/DD/YYYY) Relationship:  Friend  Spouse (Date of Marriage: ___/___/___ (MM/DD/YYYY))
Email Address: ____________________________________________________________________________________

Full Name: _____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female
Relationship:  Sibling  Cousin  Parent  Child  Other (please specify)
__________________________

Full Name: _____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female
Relationship:  Sibling  Cousin  Parent  Child  Other (please specify)
__________________________

Full Name: _____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female
Relationship:  Sibling  Cousin  Parent  Child  Other (please specify)
__________________________

Full Name: _____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female
Relationship:  Sibling  Cousin  Parent  Child  Other (please specify)
__________________________

Full Name: _____________________________________________ Date of Birth: ____/____/________ (MM/DD/YYYY)
Gender:  Male  Female
Relationship:  Sibling  Cousin  Parent  Child  Other (please specify)
__________________________

Profile           Do you smoke?  Yes          No As of July 1st, 2008, smoking is permitted inside only in Prosser Apartments and
outside only in designated areas.          I am a student attending:  OSU  NOC  ELI

Other Accommodation Details                Desired move in date: ____/____/________ (MM/DD/YYYY)
Housing Preferences If you are planning to live in Family and Graduate Student Housing, we will be assigning you to an apartment unit that will
best match your listed preferences. Please continue on and take a few minutes to let us know what your top three preferences are, and your desired
move in date. While we cannot guarantee that you will get your top choice of housing, we will do our best to meet your needs and provide you with the
best housing we have to offer.*
First Preference: _________________ Second Preference: ________________ Third Preference: _________________
Neighborhoods: Brumley, Demaree, Prosser, Stevens, West, Williams 12-15, Williams 101-105, Morrison (See
www.reslife.okstate.edu for more information.
Are you interested in the Transfer Zone Living Learning Community?  Yes  No       The Transfer Zone, located in the
Morrison Neighborhood, is a unique living and learning community which is a partnership of the College of Agricultural Science and Natural Resources
and the College of Arts and Sciences. The Zone has been designed to help transfer students adjust to academic, social, and living environments at
Oklahoma State University.
Do you require your apartment to be:  Furnished  Unfurnished
Any other request: _________________________________________________________________________________
Certification of Meningococcal Compliance Oklahoma Statutes, Title 70 §3243, requires students who are first time students at
Oklahoma institutions and reside in on-campus housing to either be immunized for meningitis or to declare their decision to refuse such immunization.
Please indicate your decision by checking the appropriate box below. Your decision will have no affect upon your housing decisions otherwise noted on
this contract. This information is gathered in order to comply with Oklahoma Law, and will not result in any action against you. If you do not indicate
your decision, it will be assumed that you have chosen not to be immunized against meningococcal disease.
 Yes I have received information regarding the risks associated with meningitis and have been vaccinated against
meningococcal disease
 No I have received information regarding the risks associated with meningitis and chosen not to be vaccinated at this
time
Assignment Fee and Deposit Payment The contract process requires a $50 non-refundable assignment fee and a $150 deposit. The
deposit will be refunded to your Bursar account if your accommodations are clean and undamaged at the time of your checkout. I understand the deposit
does not guarantee me an apartment. Admission to the University and the Contract for housing are not related.
There are three payment options.
1) Pay with Credit Card (MasterCard or Visa). We do prefer that you use the Star Portal website for the security of your card number.
2) Check or money order
3) Cash. Please do not send cash through the mail.
Thank you for completing your housing contract with OSU Residential Life! We are excited that you will be living on campus and experiencing all of the
wonderful things that OSU has to offer. Welcome home!
Please contact the Residential Life Office in Iba Hall if you would like to request a meal plan for on-campus dining.
Cancellation Procedure and Policies
TERMINATION OF CONTRACT
You may terminate this contract, subject to the following conditions and deadlines
     A.        Contract Termination Prior to Beginning Occupancy
               a. Full Refund - Deadline Your entire initial deposit will be refunded if 1) your written notice of termination is received by the
                    Department of Residential Life at least three (3) weeks before occupancy is to begin, or 2) within one (1) week of submitting this
                    contract.
               b. Partial Refund - Deadline Seventy-five dollars of your initial deposit will be retained by the University if your written notice of
                    termination is received at least one (1) week before occupancy is to begin. The $75 is to be treated as the University's agreed
                    liquidated damages caused by your willful breach of this contract. If you requested and received approval to waive your initial
                    deposit payment requirement (due to financial aid, etc.), you will be charged $75.
               c. No Refund There will be no refund of the initial deposit if written notice is not received at least one (1) week before occupancy is to
                    begin. The initial deposit will be retained by the University as agreed liquidated damages. If you requested and received approval
                    to waive your initial deposit payment requirement (due to financial aid, etc.), you will be charged $150.
     B.        Contract Termination On or After Beginning Occupancy
               a. For Family and Graduate Student Housing a one-month written notice is all that is needed. The contract will terminate one month
                    following the date your written notice is received in the Family and Graduate Student Housing office.
               b. Your entire initial deposit will be refunded if the condition of your residence is deemed satisfactory by University officials at the time
                    of your contract expiration.
               c. Meal Plans are terminated at contract termination unless prior arrangements are made in writing with the Department of Residential
                    Life. If you cancel your meal plan on or after the first day of class, you will be credited a prorated amount of your semester meal plan
                    charge or the remaining balance, whichever is smaller. In addition, you will be charged a $150 buyout fee.
Please contact the Family and Graduate Housing Office (405) 744-5353. for questions. For Meal Plan questions, please contact the Residential Life
Office (405) 744-5592


Contract Terms and Conditions Agreement By signing below you are accepting the Terms and Conditions in this Contract for On-Campus Housing.

Principal: _________________________________________________ Date: ____/____/________ (MM/DD/YYYY)


Secondary or Spouse: _______________________________________ Date: ____/____/________ (MM/DD/YYYY)



Received by: _______________________________________________                       Date: _________________________________________

								
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