Lvn Agreement

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Lvn Agreement document sample

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							                  G R A D U A T E                                                                                                                                    OFFICE USE ONLY
                                                                                                                                               Date Received: _______________ Receipt: ___________

                  HOUSING AGREEMENT                                                                                                            Unit Assignment: ________________________________
                                                                                                                                               Unit Type: ______________________________________
                  Please complete all the information requested and return this Housing Agreement                                              TOW_____________UPA __________ BV____________
                  with $100.00 non-refundable and non-transferable processing fee to FIU Housing
                  Office, 121 University Park Towers, Miami, Florida, 33199. Checks, money orders, or                                          Notes: _________________________________________
                  travelers checks must be drawn on a U.S. bank.
                                                                                     AGREEMENT TO TERMS AND CONDITIONS
                  It is your responsibility to review your housing needs and financial resources before signing this agreement. Please be sure to review the
                  Terms and Conditions of the Housing Agreement on pages 16-17 of this brochure.
                  I understand that this is a Housing Agreement for an on-campus housing space at Florida International University. I have read the Terms
                  and Conditions of the Housing Agreement and agree to abide and be legally bound by these terms and conditions. I am aware that the
                  Housing Agreement is for both the Fall and Spring semesters or Fall/Spring/Summer semesters. I understand that by submitting the Housing
                  Agreement, it does not guarantee a specific unit, rate, complex or space assignment. I have read and understand the information provided.

                  _______________________________________________________________________                                                                                                 ___ / ___ / ___
                  Student’s Signature                                                                                                                                                                  Date


                  _______________________________________________________________________                                                                                                 ___ / ___ / ___
                  Parent or legal guardian must sign if student is under 18 years of age                                                                                                               Date

                                                                                                  GENERAL INFORMATION

                   Gender:           r Female r Male                             Date of Birth:          ____ / ____ / ____                            FIU Panther ID#: ________________________
                                                                                                           Month        Day           Year

                   Please select one the following options
                   r Fall 2011/Spring 2012/Full Summer 2012                              r Fall 2011/Spring 2012                                                r Spring 2012 only
                                                                                             Enter room preferences in Section B only                               Enter room preferences in Section B only
                       Enter room preferences in Section A only
                   Last Name:                                                                    First Name:                                                            Middle Name:

                   Street Address:                                                                              City:                                 State/Country:                           Zip Code:

                   Telephone Number:                                                                                     Cell Phone Number:

                   Email:                                                                                                Emergency Contact Phone Number:



                    Do you consent to allowing Housing and Residential Life to give your email address to prospective or actual roommates so that you can
                    communicate with them? r I give consent to FIU/HRL to release my e-mail address to my perspective roommate(s).


                   r Require ADA accommodations. If you have specific housing needs related to a disability please describe:
                       ________________________________________________________________________________________________________________
                       In appropriate cases, applicants may need to provide documentation of their disability to substantiate the need for the requested accommodations. Provision of this information is voluntary and
                       this information will not be used in a discriminatory manner.

                   SECTION A                     FALL/SPRING/SUMMER ROOM PREFERENCES (Available only at the University Park Apartments -UPA)
                    Graduate students who anticipate being on campus all year (Fall/Spring/Summer), regardless of academic program, are encouraged to
                    select this option. If interested in the Fall/Spring semesters only, please see options from Section B on the back of this page.

                  The fees listed below are estimated for the 2011-2012 academic year and are subject to the approval of FIU’s Board of Trustees (BOT).
                  Please refer to housing.fiu.edu which will list the 2011-2012 fees once approved by the FIU BOT.

                                         Please rank your choices in order 1-7
                    Res. Hall                  Type of Unit            $ Per Semester                     1-7               Res. Hall                      Type of Unit                     $ Per Semester        1-7
housing.fiu.edu




                       UPA                1 BEDROOM DOUBLE*                           $2,850.00                                 UPA               4 BEDROOM SINGLE                            $3,830.00
                                                                                                                              Continued
                                                                                                                                                                        u
                                          2 BEDROOM B DOUBLE                          $2,276.00                                                   STUDIO SINGLE                               $3,828.00
                                                                                                                                                                             u
                                          2 BEDROOM B SINGLE                          $3,272.00                                                   EFFICIENCY SINGLE                           $3,950.00
                                          2 BEDROOM QUAD SINGLE                       $4,126.00
                                                                                                                                                  u
                   * r Married Housing is limited. UPA is based on 1-bedroom double rate multiplied by two.                                         Limited availability
14
 SECTION B                                         FALL/SPRING AND SPRING ONLY ROOM PREFERENCES
                              (available at the University Park Apartments, University Park Towers, and Bay Vista Housing)

The fees listed below are estimated for the 2011-2012 academic year and are subject to the approval of FIU’s Board of Trustees (BOT).
Please refer to housing.fiu.edu which will list the 2011-2012 fees once approved by the FIU BOT.
                       Please rank your choices in order 1-7                                                       Please rank your choices in order 1-5
        FOR ALL GRADUATE AND MEDICAL STUDENTS (at MMC)                                                          FOR ALL GRADUATE STUDENTS (at BBC)
   Res. Hall                   Type of Unit                   $ Per Semester          1-7        Res. Hall                   Type of Unit                       $ Per Semester   1-5
      UPA             1 BEDROOM DOUBLE*                         $2,850.00                             BVH        2 BEDROOM SINGLE (S)                            $3,364.00
                      2 BEDROOM B DOUBLE                        $2,276.00                                        STUDIO SINGLE (P)                               $3,284.00
                                                                                                  (P) Private
                      2 BEDROOM B SINGLE                        $3,272.00                         Bathroom       EFFICIENCY SINGLE (S)                           $3,530.00
                      2 BEDROOM QUAD SINGLE                     $4,126.00                        (S) Shared      1 BEDROOM SINGLE (S)                            $3,804.00
                                                                                                 Bathroom
                      4 BEDROOM SINGLE                          $3,830.00                                        1 BEDROOM SINGLE (P)*                           $4,282.00
                                          u
                      STUDIO SINGLE                             $3,828.00
                                                u                                                * Married Housing
                   EFFICIENCY SINGLE               $3,950.00                                     u
                                                                                                     Limited availability
                    Please rank your choices in order 1-3
                 FOR ALL LAW AND IMBA STUDENTS ONLY
   Res. Hall                   Type of Unit                   $ Per Semester          1-3        BVH: Bay Vista Housing
      TOW             4 BEDROOM SINGLE                          $3,830.00                        TOW: University Park Towers
                      2 BEDROOM SINGLE          u
                                                                $4,126.00                        UPA: University Park Apartments

                      STUDIO SINGLEu                            $3,828.00

                                          LIVING AND LEARNING/OTHER OPTIONS (Please select one preference only)

  r LAW                       r IMBA                        r MEDICAL STUDENT                    r Married Housing is limited. UPA is based on 1-bedroom
     TOW only                   TOW only                        UPA only                               double rate multiplied by two. BVH rate is available upon
                                                                                                       request. Available at UPA and BVH only.

                                                                              ROOMMATE REQUEST
If space is available, I would like to room with the following student(s) (only mutual requests of the same gender will be honored). Please state name(s) and
FIU PANTHER ID number. Married Housing options are limited. If you are requesting Married Housing, please provide spouse’s name below. Children are not
eligible for housing.

Last Name                                                                First Name                                                           FIU Panther ID#

Last Name                                                                First Name                                                           FIU Panther ID#

Last Name                                                                First Name                                                           FIU Panther ID#

                                                    MENINGITIS & HEPATITIS B - Immunization Requirements
It is a requirement of Florida law that the student residing in university housing provides documentation of vaccination against Meningococcal Meningitis
and Hepatitis B or signs the waiver declining each of these vaccinations to the University Health Services. A copy of the immunization form can be obtained
from University Health Services. By signing below, this student, or the student’s parent or legal guardian (if a student is a minor), certifies that the student has
complied with this requirement of law. Failure to comply with this requirement constitutes grounds for termination of the housing agreement.
I understand it is my responsibility to provide the appropriate immunization information to the Health Services Office at Florida International University in
order to live on campus.
_____________________________________________________________                                                                           ____ / ____ / ____
Student’s Signature                                                                                                                                     Date
_____________________________________________________________                                                                           ____ / ____ / ____
Parent or legal guardian must sign if student is under 18 years of age                                                                                  Date

                                           RELEASE OF HOUSING ASSIGNMENT AND FINANCIAL INFORMATION
The Family Education Rights and Privacy Act of 1974 (FERPA) requires us to ensure that a student’s right to privacy is protected. We cannot release information
regarding your housing assignment or housing financial information to any person, other than yourself, unless written permission is given by you. In order for the
University Housing staff to ensure compliance with the law and assist family members with questions about their student’s housing assignment and housing financial
information, you must give us written authorization prior to the release of this information. Please release my housing information to the following individuals:
                                                                                                                                                                                       housing.fiu.edu




__________________________                    ______________________________                   ______________________________ ________________________
Name                                          Relationship to Student                          Name                                              Relationship to Student

By signing below I have Authorized to have my information released to the individual(s) listed above.

__________________________________________                               __________________________________ _____________________________________
Student’s Full Name (Print)                                              Student’s Signature                                FIU Panther ID#

r NO, I would not like my Housing assignment and Housing financial information released to a third party. In the future, if you want to change or revoke
    this information, you must inform the Housing Office in writing of this request.
                                                                                                                                                                                       15
                  HOUSING AGREEMENT • ACADEMIC YEAR 2011-2012
                  Terms and Conditions: Graduate Students Only
                  1. ELIGIBILITY: A person must be enrolled as a degree-seeking student to be eligible for                 5. PROCESSING FEE AND REFUNDS: The $100.00 processing fee submitted with the
                  on-campus housing. The Director of Housing or designee may permit, solely within his or                  Housing Agreement is non-refundable and non-transferable.
                  her discretion, students enrolled in Continuing Education, Dual Degree programs, or other                A. If the student has been approved for a cancellation in accordance with Section 16, a pro-
                  students with special circumstances to be eligible for on-campus housing. On-campus                         rated portion of prepaid housing fees will be refunded. The pro-rated portion of prepaid
                  housing may be denied for cause or lack of space with any monies that have been paid                        housing fees will be calculated from the first official published check-in day to the day
                  returned prior to occupancy.                                                                                the student checks out of the assigned housing unit. There are no prorations or refunds
                  Florida law requires individuals enrolled in a postsecondary educational institution to pro-                made after the end of the sixth week of classes. The check-in dates for each semester are
                  vide documentation of vaccinations against Meningococcal Meningitis and Hepatitis B un-                     posted on the Housing website.
                  less the individual (if 18 years of age or older) or the individual’s parent or guardian (if indi-       B. Refunds shall not be made after the seventh week of classes in each semester.
                  vidual is a minor) declines the vaccination by completing a separate waiver for each of these
                                                                                                                           6. ASSIGNMENTS: Assignments are made by the Housing Office without regard to race,
                  vaccines. Each student must submit his or her vaccination information to University Health
                                                                                                                           religion, national origin, sexual orientation, age, or disability.
                  Services prior to checking into Housing. Students should visit the University Health Services
                                                                                                                           A. Adapted housing is available upon advanced written request and availability.
                  website for more information: http://www.fiu.edu/~health/immunization/index.html.
                  Please contact University Health Services for more information at: MMC 305-348-2401, BBC                 B. While information provided on the Housing Agreement is considered in making assignments,
                  305-919-5675.                                                                                                no guarantee of a specific unit, rate, complex, or space assignment is implied or made.

                  2. TERMS OF THE AGREEMENT: Graduate students may select one of three residency peri-                     7. CHECK-IN/CHECK-OUT: The student may check into the assigned housing unit on the
                  ods: 1) the Fall 2011, Spring 2012, and Summer 2012 terms 2) the Fall 2011 and Spring 2012               published check-in day and is entitled to remain there until 24 hours after their last day of
                  terms, or 3) Spring term only. The selection is reflected on the term chosen on the first page           examinations for the Spring Semester or latest by noon on the last day of exams week listed in
                  of the Housing Agreement, which is incorporated by reference. The term chosen is subject to              FIU 2011-2012 Academic Calendar located at http://registrar.fiu.edu, unless this Agreement
                  earlier termination as provided in Paragraph 18. The student will be assessed all fees for the           is terminated earlier in accordance with Section 16. The published checkout date is posted on
                  entire term selected if the student enrolls but does not occupy the assigned unit and has not            the Housing website.
                  canceled this Agreement pursuant to Paragraph 16 below. The student shall not be released                A. If the Agreement is terminated, the student must vacate the assigned housing unit with-
                  from this Agreement due to lack of financial resources, dietary or non-emergency medical                     in the time provided in the notice of termination and follow all check-out procedures
                  needs. The student is urged to carefully consider his/her circumstances prior to entering into               prescribed by the Housing Office.
                  this Housing Agreement.                                                                                  B. Students with the Fall 2011–Spring 2012 Agreements may occupy the assigned housing
                  A. FALL AND SPRING TERM: If selected, THIS AGREEMENT IS FOR BOTH THE FALL AND                                unit during the winter break period from December to January only if all fees for the
                      SPRING SEMESTERS OF THE CURRENT ACADEMIC YEAR, or any portion of the Fall and/or                         Spring term have been paid when due. Students who have signed this Agreement but
                      Spring Semester remaining when this Agreement is signed.                                                 are only residing in housing for the Spring semester can only move in during the Spring
                  B. FALL, SPRING AND SUMMER TERM: If selected, THIS AGREEMENT IS FOR THE FALL,                                check-in dates published on the Housing website.
                      SPRING AND BOTH SUMMER SEMESTERS OF THE CURRENT ACADEMIC YEAR, or any por-                           C. When a student moves out of a housing unit, the student must schedule a check-out ap-
                      tion of the Fall, Spring and/or Summer Semester C remaining when this Agreement is                       pointment with the Resident Assistant or use Express Check-Out. If the student uses the
                      signed. This selection allows the student to remain in his/her assigned unit over Univer-                Express Check-Out option, he/she waives the right to appeal any assessment related to
                      sity breaks and Summer sessions. If selected. This is available to University Park Apart-                the check-out process.
                      ments area only.                                                                                     D. Failure to follow established check-out procedures will result in a non-refundable
                  C. SPRING TERM: If selected, THIS AGREEMENT IS FOR THE SPRING SEMESTERS OF THE                               $100.00 improper check-out fee.
                      CURRENT ACADEMIC YEAR, or any portion of the Spring Semester remaining when this                     E. Belongings/personal items left behind by a student after the check-out deadline will be
                      Agreement is signed.                                                                                     considered abandoned property. Any item(s) remaining in the student’s unit after check-
                  D. The current academic year is based on the FIU 2010-2011 academic calendar located at                      out will be discarded. Housing and Residential Life staff are not responsible for belong-
                      http://registrar.fiu.edu.                                                                                ings/personal items left behind.
                  3. HOUSING FEES: The student will be responsible for the housing fee once notified of be-                F. A student wishing to check-in early or checkout later than the published dates must ob-
                     ing assigned to a housing space. Notification will be accomplished through the use of                     tain approval from the Housing Office. Approval is based on availability. The student
                     the student’s assigned official FIU student email account. The fee schedule is located                    who is approved to check-in earlier or checkout later will be charged a pro-rated amount
                     at housing.fiu.edu, which is incorporated by reference. The housing fee is based on the                   based on the number of days multiplied by the unit type’s daily rate. The student who is
                     assigned unit and can be adjusted if a transfer to another housing space with a different                 not approved for early check-in or late check-out but checks in early or checks out late
                     rate has been approved.                                                                                   will be assessed a daily fee of $100.00.
                                                                                                                           G. The student planning to check-in after the designated check-in periods is required to
                  4. PAYMENT OF FEES: The student shall promptly pay all fees when assessed. In the event                      notify the Housing Office of their late arrival.
                  of unforeseen occurrences, additional fees may be assessed. Housing fees, if applicable, will
                  be assessed per semester. The Housing Office accepts checks, certified checks, money or-                 8. CHANGES IN ASSIGNMENTS: A student may not change housing assignments without fol-
                  ders, and traveler’s checks drawn on a United States bank with sufficient funds. Cash is not             lowing established procedures and obtaining prior written approval from the Housing Office.
                  accepted.                                                                                                A. No changes in assignments will be made based on age, race, religion, national origin, dis-
                   A. Fees must be paid by the due date listed on the Housing invoice and the Housing web-                     ability, or sexual orientation, except as needed to provide a reasonable accommodation
                      site. The dates included in the Housing invoice and on the Housing website supersede                     to a disabled student.
                      any due dates for paying the Housing invoice included those listed in the “myfiu” account.           B. Failure to follow established room transfer procedures will constitute a breach of this
                      Failure to pay fees when due shall be considered a breach of this Agreement and may                      Agreement and will result in a $100.00 improper transfer charge.
                      result in one or more of the following actions being taken: 1) denial of housing services;           C. The Housing Office reserves the right to require changes in room assignments including,
                      2) loss of space; 3) inability to register for classes; 4) withholding of University records or          but not limited to, consolidation, to insure maximum utilization of space and resources,
                      diploma; and/or 5) turning the matter over for collection.                                               addressing roommate problems, unforeseen events, enrollment fluctuations, physical fa-
                  B. A late fee of $25.00 will be assessed for any payment which is not received when due.                     cility problems, staff changes, emergency evacuation and shelter purposes, etc.
                  C. If the University is forced to turn the account to collections, the student shall be responsi-
                      ble for all additional costs of collection including attorneys’ fees and all costs at all judicial   9. USE OF THE ASSIGNED UNIT: The student is not permitted to assign or sublease to, or
                      levels (e.g., trial and any appellate courts), if applicable.                                        allow the use of the assigned space by another person and/or guest.
                  D. Deferments of fees may be granted provided the official notification of Financial Aid                 A. Guests/visitors must observe all published rules and abide by the registration policies.
                      Award shows one or more of the following in an amount sufficient to pay for tuition,                     The student is responsible for the conduct and actions of their guest. No overnight
housing.fiu.edu




                      fees, and housing from one or more of the following: 1) Pell Grant; 2) Supplemental Edu-                 guests are permitted without prior written approval from the Residence Life Coordinator.
                      cational Opportunity Grant; 3) FIU Grant/Scholarship; 4) Stafford Loan; and/or 5) Florida            B. The assigned unit may not be used as a place of business, nor may a student conduct any
                      Prepaid College Program.                                                                                 business within the Housing facility.
                  E. Deferment requests are subject to approval by the Associate Director of Housing or des-               C. No animals or pets are permitted at any time with the exception of fish in a maximum
                      ignee. If a partial deferral is approved, the student is responsible for paying the balance              tank size of ten gallons.
                      due in full prior to occupancy. If a deferral request is denied, the student must make pay-          D. The student shall use the space only for lawful purposes.
                      ment by the payment date published in the Housing invoice and on the Housing website                 E. No smoking is permitted within the housing units or on campus in accordance with Uni-
                      to guarantee housing.                                                                                    versity regulations.
                  F. If a student loses the assigned unit, the student remains financially obligated for all Hous-         F. The student is prohibited from possessing items considered to be health and safety viola-
                      ing fees.                                                                                                tions (such as candles, incense, halogen lamps, etc.) as set forth in the Student Handbook.
16
10. BEHAVIOR AND CONDUCT: The student agrees to abide by all University, Housing and                  a $100.00 fee if canceled prior to July 1, 2011, and $200.00 if canceled between July 1 and
Residential Life rules, policies and procedures published in the current Student Handbook,            August 22, 2011. Approved cancellations for Spring will be assessed a fee of $100.00 if
the Florida Statutes, the FIU regulations, and this Agreement. The student agrees to conduct          canceled prior to November 1, 2011, and $200.00 if canceled between November 1, 2011
him or herself in such a manner as to allow others the quiet enjoyment of the facilities.             and January 9, 2012. Approved Summer cancellations will be assessed a $100.00 fee if
A. Any behavior or conduct which: 1) intimidates, threatens, or personally abuses an-                 canceled prior to the first day of classes, and $200.00 if canceled on the first day of Sum-
   other Resident/Staff, 2) is disruptive to the residential community, 3) compromises                mer Semester classes or there after. Approved cancellations for fall and spring semester
   the safety and security of the community, or 4) is intended to cause a roommate to                 on or after the first day of classes are subject to a $500.00 cancellation fee. (See the 2011-
   move out is a violation of this Agreement will be grounds for immediate removal                    2012 Academic Calendar at http://registrar.fiu.edu.)
                                                                                                   C. A cancellation fee will not be assessed to graduating students, visiting international, and
   from Housing and/or interim suspension by the Vice President for Student Affairs
                                                                                                      national academic exchange students who cancel prior to July 1, 2011 for Fall/Spring and
   or designee, pending a hearing.
                                                                                                      prior to November 1, 2011 for the Spring. The cancellation fee will not be assessed to first-
B. The student whose Housing Agreement is terminated for behavioral misconduct
                                                                                                      time applicants for housing with approved cancellations that have not yet been assessed
   shall forfeit all housing fees.                                                                    on-campus housing charges.
                                                                                                   D. If the Director of Housing or designee denies the cancellation request, the student is
11. CARE OF FACILITIES AND FURNISHINGS:                                                               obligated under this Agreement unless the student chooses to buyout the Agreement
A. The student is responsible for maintaining the assigned units in a clean and sanitary              by submitting a buyout option form to the Housing Office. The student may buyout the
   manner, and free from damages. Due to the south Florida climate, air conditioning ther-            Fall/Spring Agreement by paying 50% of the full room rate for the Fall/Spring Agreement.
   mostats must remain on low setting or between 72-78 degrees at all times. No house-                The buyout rate for the Spring semester is a flat rate of $2,534.00. The student may appeal
   keeping is provided. Trash removal is provided from designated locations in each hous-             the denial of a cancellation request pursuant to the terms of Section 21.
   ing complex. Pest control services are provided to each housing facility once a month.
   The student is expected to report damages and necessary repairs to the Residence Hall           17. BREACH OF AGREEMENT: Violation of any term, covenant or condition of this Agree-
   Complex Area Office. Housing and Residential Life does not guarantee the availability of        ment shall be considered a breach of this Agreement. In the event of such a breach, the
   parts and services.                                                                             student shall be notified in writing by the Director of Housing or designee. Remedies for
B. The student agrees to cooperate with roommates in the common protection of property,            breach of this Agreement include, but are not limited to, denial of housing services, Uni-
   to refrain from modifying the space in any way, except as expressly permitted in writing        versity disciplinary action, reassignment to another unit, or termination of this Agreement
   by the Housing Office, and to promptly pay all assessed charges for damages, special            pursuant to Section 18. The decision of the Housing Director will be final.
   cleaning or maintenance resulting from misuse or modification of the facility. The stu-
   dent is jointly and severally liable with his/her roommates for charges assessed due to a       18. TERMINATION OF THE AGREEMENT:
   violation of this section, including damages occurring in the unit or in the common areas.      A. This Agreement may be terminated for cause upon the giving of no less than 24 hours
C. The student shall be required to inspect and inventory the contents of each housing unit        advance written notice (by mail or via FIU campus email) to the student. In the event of such
   at the time of check-in and check-out. Each student shall be responsible for the condition      termination, the student shall check-out of the housing unit within the time provided in
   of the unit’s furnishings.                                                                      the notice. The University shall also have the right to cancel this Agreement for any cause
D. All furnishings shall remain unaltered and in their designated units.                           it deems reasonable including, but not limited to, violations of any provision of this Agree-
                                                                                                   ment or the University’s policies, rules or regulations.
12. UTILITIES:                                                                                     B. A student who withdraws from classes during any semester must notify the Housing Of-
A. The Housing Office reserves the right to assess additional charges based on excessive           fice and vacate the assigned housing unit within 24 hours following his/her withdrawal from
   utility consumption, or as the result of increases in rates charged by the utility service      the University.
   providers.
B. All units are provided with Ethernet connection and basic cable television services with-       19. LIABILITY: To the extent authorized by applicable law, the University shall not be liable
   out additional cost. Emergency call buttons are provided in the units in Panther Hall,          for damage to or loss to persons or personal property as a result of fire, theft or any other
   University Park Towers, Everglades Hall, and Lakeview Village. Local telephone service is       cause whatsoever, or failure or interruption of utilities. The University does not provide any
   provided in Bay Vista Housing and University Park Apartments.                                   insurance coverage for the students’ personal property. The student is encouraged to secure
                                                                                                   his/her own health and personal property loss insurance.
13. INSPECTIONS OF AND ACCESS TO THE UNIT: Facilities are subject to periodic health
                                                                                                   20. ENTIRE AGREEMENT; NO ORAL MODIFICATIONS: This Agreement sets forth the entire
and safety inspections. Employees and agents of the University shall have the right to enter
                                                                                                   agreement between the student and FIU, and supersedes and renders null and void any and
student’s unit at any time: (a) without notice, when an emergency exists, (b) when the stu-
                                                                                                   all prior or contemporaneous oral or written understandings, statements, representations
dent or residential staff has requested service for the unit for maintenance or housekeeping
                                                                                                   or promises. This Agreement may not be modified or amended, and no provisions of this
purposes, or (c) with 24 hour’s notice provided to student via telephone, campus mail, e-mail,
                                                                                                   Agreement may be waived, unless such modification, amendment, or waiver is contained in
or posting.
                                                                                                   a written document executed by both parties hereto.
14. SECURITY AND KEYS: The student agrees not to duplicate any keys assigned, or to                21. HOUSING APPEALS: In order for appeals to be considered in a timely manner, students
transfer their use to another person. If keys are not returned at check-out, the student agrees    must read the guidelines below in their entirety and follow them explicitly.
to pay the cost for all lock changes and key replacements. The student is responsible for se-      A. The student may appeal the imposition of housing fees or the denial of a cancellation
curing the assigned unit at all times and taking such precautions as are necessary to guard           request. The student shall not be released from this Agreement due to lack of financial
his/her safety and property. Housing facilities are routinely patrolled by the University police      resources, dietary or non-emergency medical needs.
force but the University cannot guarantee the safety and security of the student or his/her        B. Any appeal made must be done in writing and submitted to the Director of Housing or
property.                                                                                             designee no later than 30 days after the fee was assessed or the date that the student was
                                                                                                      notified (via FIU student email) of the denial of the cancellation request. If a student fails
15. EVACUATION PROCEDURES: The University retains the right to use the residence hall                 to file an appeal within this deadline, the student’s right to an appeal is deemed waived.
facilities for emergency shelter purposes. If a residence hall is evacuated because of an             Appeals must be accompanied by a letter and any other legal documentation support-
emergency, only those students deemed eligible by University policy will be permitted to              ing the extraordinary circumstance that the student feels merits an appeal. Appeals not
occupy space in a designated shelter.                                                                 in this format and/or that do not include supporting documentation will be rejected and
                                                                                                      will not be considered. The student will notified (via FIU student email) about the out-
16. CANCELLATION OF AGREEMENT: To request the cancellation of this Agreement, the                     come of the appeal within 14 days upon Housing’s review of the appeal. If the appeal for
student must submit a cancellation request form to the Housing Office indicating which                an assessed fee is denied, the student must pay the fee within 14 days from the receipt of
of the conditions set forth below applies and provide any required documentation noted                the letter. If the appeal of a cancellation request is denied, the student remains obligated
below. Cancellation request forms can be obtained either from the Housing Office or the               under this Agreement and may exercise the buy-out option contained in Section 16D.
Housing website. See 16D if the request for cancellation is denied. The decision of the Hous-      D. The decision of the Director of Housing or designee regarding the appeal is final. There
ing Director will be final. If the cancellation request is based on non-enrollment for a given        are no further appeals.
                                                                                                                                                                                                       housing.fiu.edu




semester and the student thereafter enrolls for that semester, the cancellation will be null
and void. and The Agreement is reinstated, obligating the student to pay all assessed hous-        IT IS THE STUDENT’S RESPONSIBILITY TO REVIEW THE STUDENT’S HOUSING NEEDS
ing fees.                                                                                          AND FINANCIAL RESOURCES BEFORE SIGNING THIS AGREEMENT. THIS AGREEMENT
A. This Agreement may be canceled if any one of the following conditions is met: 1. The            OBLIGATES THE STUDENT TO PAY ALL ON-CAMPUS HOUSING FEES AS STATED ABOVE.
   student withdraws from the University; 2. The student participates in an academic pro-          BY SIGNING THIS AGREEMENT, THE STUDENT ACKNOWLEDGES THAT HE/SHE HAS
   gram that requires residence outside the Miami-Dade/Broward area (documentation is              READ THE TERMS AND CONDITIONS LISTED ABOVE AND AGREES TO ABIDE AND BE
   required); 3. The student is dismissed or suspended for academic reasons; 4. The student        LEGALLY BOUND BY THEM. PLEASE SIGN THE FIRST PAGE OF THIS AGREEMENT WHERE
   graduates and does not continue as an enrolled student in another program; 5. The stu-          INDICATED. THE STUDENT SHOULD MAINTAIN A COPY OF THE AGREEMENT TERMS
   dent gets married after signing the Housing Agreement (documentation is required).              AND CONDITIONS FOR HIS/HER RECORDS. THE STUDENT SHALL NOT BE RELEASED
B. The University will assess a fee for all approved cancellations of this Agreement and any       FROM THIS AGREEMENT DUE TO LACK OF FINANCIAL RESOURCES, DIETARY OR NON-
   fees in accordance to Section 5A. Approved cancellations for Fall/Spring will be assessed       EMERGENCY MEDICAL NEEDS.
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