Fillable Application for Student Family Housing Montana State University (Montana State University - Northern)

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Application for Student Family Housing Montana State University (Montana State University - Northern)

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Application for Student Family Housing – Montana State University Northern
SSN(#)_____________________
SSN(#)_____________________
Applicant’s Name (Mr., Mrs., Ms.): ______________________________________
(Please Select One) (Last Name, First Name)
Spouse’s Name (Mr., Mrs., Ms.): ______________________________________
(Please Select One) (Last Name, First Name)
Applicant’s Birthdate (day/month/year): ________________ Spouse’s Birthdate (day/month/year): ________________
Current Address: ____________________________________________________________________________________
Street City State Zip Code
Home Phone: ________________ Work Phone: __________________ Cell Phone: __________________
Student Email Address:
Dependents: (Please Select)
Name: _______________________________________ Male/Female Birthdate (day/month/year): ____________
Name: _______________________________________ Male/Female Birthdate (day/month/year): ____________
Name: _______________________________________ Male/Female Birthdate (day/month/year): ____________
Name: _______________________________________ Male/Female Birthdate (day/month/year): ____________
Emergency Contact: ____________________________________________________ Phone: ____________________
I will be a student and desire housing beginning: ___________________________________________________________
Do you need 30 days notice in order to accept assignment?: __________________________________________________
Name of Previous Landlord: ___________________________________________ Phone: ____________________
If you are not assigned for the semester you are applying for, would you like to stay on our waiting list? ___Yes ___No
(If you marked no, your application will be cancelled if you cannot be placed and you will receive a $50 refund)
Please indicate your institutional status with MSU-Northern when you desire occupancy:
___New Student ___Transfer ___Graduate ___Second Degree Undergraduate
___New Faculty ___Visiting Faculty ___Post Doc ___Staff
Eligibility:
* One bedroom units – maximum occupancy (3 people – 2 adults, 1 child or 1 adult, 2 children)
* Two bedroom units – minimum occupancy (2 people) maximum occupancy (4 people – 2 adults, 2 children or 1 adult, 3 children)
I am eligible and am applying for a bedroom unit.
I understand I am responsible for all information included in the terms of the Student Family Housing Application, the Student Family
Housing Contract Conditions, the Student Family Housing Contract, Student Family Housing Handbook and the University Code of
Conduct. I further accept the contract conditions listed on the back of this application.
Signature of Applicant ____________________________________________ Date ________________________
Signature of Spouse ______________________________________________ Date ________________________
Applicants are encouraged to apply well in advance of their desired date of occupancy. Please return your application and
$100 deposit to:
MSU-Northern Residence Life Office, PO Box 7751, Havre, MT 59501
To request disability accommodations, inform us of special needs, or to ask questions, please contact
MSU-Northern Residence Life/Housing Office, 204 Student Union Building, Havre, MT 59501, (406) 265-3561
Family Housing Contract Conditions
Montana State University – Northern
1. It is important that accurate, up to date information is maintained on each application. Therefore, each applicant is required to
notify the MSU-Northern Residence Life Office of changes in address and phone numbers. If we cannot contact you because of
out-of-date information, we will be unable to assign you a unit, and your $100.00 application deposit may be forfeited.
2. Assignments are offered based on and the date needed and availability. If there are no apartments available at time of application,
you will be contacted and given your position on the waiting list and an update on expected openings. Housing applications are
prioritized by application date.
3. Student Family Housing is primarily intended to provide affordable housing for students with families. Students may reside in
Student Family Housing only with individuals for whom the student has or shares a legal responsibility. Examples of such
relationships include married students, students with dependent children, students with dependent parent(s), and students with
disabilities who require a live-in personal care attendant. The Residence Life Office may request documentation of the legal
relationship of the student to those persons residing with the student. Such documentation could include a marriage license or
declaration of marriage, children’s birth certificates, and/or custody decree, letter of guardianship or other documentation
sufficient to establish a legal responsibility. Single graduate students; and undergraduate students with more than 72 completed
credits are also eligible to reside in Student Family Housing. Faculty and Staff housing may be occupied by one (1) resident.
4. Occupancy Limits as follows:
* One bedroom units – maximum occupancy (3 people – 2 adults, 1 child or 1 adult, 2 children)
* Two bedroom units – minimum occupancy (2 people) maximum occupancy (4 people – 2 adults, 2 children or 1 adult, 3
children)
**Any exceptions to these requirements will be made by the Dean of Students or their designee.
5. Students are required to carry a minimum of 6 undergraduate or 5 graduate credits per semester in a University approved
program while residing in Student Family Housing. In addition, students must be making reasonable progress toward a degree in
an approved University program.
6. The following items are necessary at contract signing and before keys are issued.
a. Documentation of Legal Relationship of Tenants (if requested by the Residence Life Office).
b. Payment of pro-rated portion of rent for current month.
7. A student may not be financially indebted to the University at the time of this contract is authorized. If there is a balance
outstanding, it must be paid or other arrangements made with Business Services. No student with an outstanding balance may
move into University housing without written approval of the Dean of Students or their designee or the Director of Business
Services. Any student who does not have sufficient funds or is behind on rent may be removed from housing prior to the end of
the term. Students must me in “good financial standing” (made payments on time) in order to continue to live in Student Family
Housing for the next semester.
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8. A written notice is necessary to CANCEL this application and receive a partial refund of your deposit. A $25.00 processing fee
will be retained by MSU-Northern Housing in the case that you cancel your application.
9. Applicants who ‘No Show’ or do not cancel with written notice prior to their requested date of occupancy will FORFEIT their
$100 deposit.
10. Every effort will be made to assign you to the unit of your choice. However, upon two refusals of a housing assignment, this
application will be automatically cancelled and your $100.00 deposit will be forfeited.
11. ANIMALS OR PETS OF ANY KIND ARE NOT ALLOWED (excluding fish). Students that have a pet accommodation
needs must contact the Residence Life Office and must have prior approval before an animal may arrive to campus.
VISITING PETS ARE NOT PERMITTED.
12. FIREARMS ARE NOT ALLOWED IN RESIDENT APARTMENTS (Locked Storage is Available).
13. Parking is limited to a maximum of two (2) vehicles per apartment if more than one adult tenant. If only one tenant, only one
vehicle is permitted. MSUN Student Family Housing reserves the right to tow abandoned vehicles. Long flatbed trailers, boat
trailers, campers, and other oversized vehicles are not permitted to park in Student Family Housing at any time.
14. MSU-Northern Residence Life Office reserves the right to deny an application from a former MSU-N Student Family Housing
or Residence Hall student who was evicted, failed to make timely rent payments, caused damage to the unit, or violated other
terms of the contract and/or University conduct guidelines during the term of their previous tenancy. MSU-Northern Residence
Life Office will not accept or process applicants who still owe MSU-N money due to unpaid rent or other expenditures accrued at
MSU-N. Further, MSU-Northern Residence Life Office reserves the right to deny any application from an individual or their
legal dependant who may pose a threat to the health and safety of other residents and their property.
15. Any student applying for on-campus housing that has a felony conviction or any student who is convicted of a felony while living
on campus will be reviewed on an individual basis to determine if the individual will be allowed to reside in the on-campus
facilities of MSU-Northern.
Revised 03/2015
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Application for Student Family Housing Montana State University (Montana State University - Northern)

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Completed 23 August 2020

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