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FEATHER RIVER COLLEGE STUDENT HOUSING
300
GOLDEN EAGLE AVENUE, QUINCY, CALIFORNIA 95971
Applicant Information
Applicant Name: ______________
_______________________ Student ID#:_______________________________
Address: ________________________________
_____________________________________________________
City: __________________________________
_____ State: _______________ Zip: ________________
Home Phone: (_______) _______-___________
Cell Phone: (_______) _______-___________
Student Email: _________________________________ Parent Email: ________________________________
Birthdate: _______________________
____ Current Age: ________
(If under the age of 18, parent must sign all documents.)
Gender: ______ Male ______ Fem
ale
Are there any special ac
commodations or circumstances that you would like us to be aware of?
____________________________________________
__________________________________________________
Are there any medical
conditions that you would like us to be aware of?______________________________________
Medications taken regularly (please specify): __________________________________________________________
Emergency Contact Information
Name (First, Middle I
nitial, Last):_____________________________________________________________________
Address: __________________________
___________________________________________________________
City: ___________________________
_______ State: _____________ Zip: _____________
Home Phone: (_______) _______-_
__________ Cell Phone: (_______) _______-___________
Name of Insurance Carrier for
Applicant: _________________________ Policy/Group No._______________________
530-283-9414
frchousing@frc.edu www.frc.edu/housing
2020-2021 ACADEMIC YEAR
STUDENT HOUSING APPLICATION & LICENSE AGREEMENT
August 21, 2020 - May 22, 2021
Returning Students: Dorm applications will not be accepted if there is a past due balance on the account
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Student Status
Check all that appl
y:
1st Time Student Returning Student Student Athlete (specify sport):__________________________
My intended major or pr
ogram of study is:______________________________________________________________
Roommate Questionnaire
My roommate preference(s)
is: ______________________________________________________________________
Check one per question:
Sleep Schedule----- I cons
ider myself a: _____ Morning Person _____ Combination _____ Night Owl
Cleanliness----- I keep my
room: _____ Neat _____ Slightly Messy _____ Very Messy
Socializing----- I lik
e to go out with friends at night: _____ Weeknights and Weekends _____ Week-ends Only _____Hardly Ever or Never
Study Habits---- I pref
er to study: _____Outside my room (i.e. library) _____Quietly in my room _____ With music, TV, etc. in my room
Housing Site Preference:
Apartment Style Dorms (on-campus) The Pines (males only) Meadows Apartments
Room Preference: Mark your 1
st
and 2
nd
choice below. Housing staff will make every effort to honor your
request.
One Bedroom / Double Occupancy (2 students)
Two Bedroom / Double Occupancy
(4 students)
Housing Fees:
$50
Application Fee
(Mandatory)
Non-refundable fee to be submitted with the application.
$400
Security/Cleaning Deposit
(Mandatory)
Due at the time of move-in for all residents. Financial Aid funds are
not available to pay this deposit.
$25/semester
$50/year
Activity Fee
$25.00 per semester for events and activities for the education and
enjoyment of all dorm residents.
$25/semester
$40/year
Parking Permit
Permit is required to park your vehicle on Student Housing property.
The permit must be displayed on the driver’s side windshield. Parking
regulations enforced by the first week of school; fines will be levied for
vehicles without permits.
Page: 3 of 10
Housing Payment Options:
Rent is calculated according to the acadmeic calendar, not the number of days in the month that the room is occupied.
For your convenience, there are four options to pay rent. Check the payment plan you intend to use; plans may be
changed by contacting the Student Accounts Technician. Approved payment methods include cash, check, Visa or
MasterCard or Financial Aid. Payments can be made in person, by electronic payment via MyFRC, or by phone at
530-283-0202, ext. 292.
Plan 1: Payment in full; must be submitted prior to occupancy or move-in. If payment is not received by the due
date, you will default to the monthly payment plan (Plan 3). Contact Student Accounts to change plans if
this obligation cannot be met. This plan cannot be chosen if Financial Aid is planned to be used to pay for
housing.
One Bedroom $4853
Due by 8/21/20
Two Bedroom $4542
Plan 2: Semester payments; must be submitted prior to occupancy or move-in each semester. This plan includes
an annual handling fee up to a total of $153. If payment is not received by the due date, you will default to
the monthly payment plan (Plan3). Contact Student Accounts to change plans if
this obligation cannot be
met. This plan cannot be chosen if Financial Aid is planned to be used to pay for housing.
One Bedroom
$2,503
Fall 2020 due by 8/21/20
$2,503 Spring 2021 due by 1/15/21
Two Bedroom
$2,347
Fall 2020 due by 8/21/20
$2,347 Spring 2021 due by 1/15/21
Plan 3: Monthly Installments; the first months payment to be submitted prior to occupancy or move-in.
Subsequent payments must be submitted by the deadlines listed below. This plan includes an annual
handling fee up to a total of $258. If payment is not received within five days of the due date, a $20 late fee
will be assessed. This plan cannot be chosen if Financial Aid is planned to be used to pay for housing.
Due
8/21
Due
9/1
Due
10/1
Due
11/1
Due
12/1
Due
1/1
Due
2/1
Due
3/1
Due
4/1
Due
5/1
One
Bedroom
$510 $510 $510 $510 $510 $510 $510 $510 $510 $510
Two
Bedroom
$480 $480 $480 $480 $480 $480 $480 $480 $480 $480
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Plan 4: Financial Aid by semester; requires the Financial Aid Payment Form (page 8) to be submitted prior to
One Bedroom
$2,503
Fall 2020 - check with Financial Aid for your disbursement dates
$2,503 Spring 2021 check with Financial Aid for your disbursement dates
Two Bedroom
$2,347
Fall 2020check with Financial Aid for your disbursement dates
$2,347 Spring 2021 check with Financial Aid for your disbursement dates
Your initial verifies that you have read, understand, and agree with the section. All sections must be agreed to in order for
the District to accept the Student Housing Application and License Agreement.
I. OCCUPANCY
(a) Feather River College Student Housing (FRCSH) hereby grants to Licensee permission to occupy a bed space within a specific housing unit to
be assigned and identified by FRCSH for the 2020-21 academic year housing period, unless sooner terminated under provisions of this License
Agreement. Specific assignment of a housing unit shall be made by FRCSH and may be changed by FRCSH based on needs and circumstances as
determined by FRCSH, such as facility repairs or roommate conflicts. Initial: _____
II. ENHANCEMENT OF EDUCATIONAL EXPERIENCE
(a) Feather River College Student Housing shall maintain a professional staff to work with students to develop a community concept within the
housing facility to enhance student's educational experience at Feather River College. Feather River College Student Housing shall provide
opportunity for input by Licensee into the development of the community. The facility shall be operated to enhance the educational, social, and
recreational opportunities available to Licensee.
(b) Licensee agrees to recognize the importance of maintaining the housing facility as an environment that is conducive for fellow students to study,
live, and sleep. While in the facility, Licensee agrees to not disturb this environment and follow all rules set forth in the FRC Student Housing
Handbook and License Agreement. Initial: _____
III. TERMS AND CONDITIONS
(a) The FRC Student Housing Handbook is made a part of this License Agreement and residents are subject to all regulations contained in FRC
Student Housing Handbook, a copy of which has been provided for review and is available at the Feather River College Student Housing Office, on
the FRC website, and is provided at move-in.
(b) Licensee agrees to comply with the housing facility regulations, which are listed in the Student Housing Handbook, and any subsequent
amendments.
(c) This License Agreement shall not be transferred except as permitted in Section VIII.
(d) It is understood and agreed by Licensee and Feather River College Student Housing that no lease or any other interest in real property is created
by this Agreement.
(e) Licensee agrees not to sublease a room to which he or she is assigned and to pay current and future housing rates of their assigned living
environment.
(f) Feather River College Student Housing reserves the right to change room rates and occupancy after due notice and to add other requirements
and stipulations as may become necessary for the betterment of the housing program and the general welfare of the students.
(g) To be eligible for occupancy, Licensee must be currently enrolled and maintain status as a student at Feather River College with at least 6
semester units. Initial: _____
Student Housing License Agreement
Initial: ____
occupancy or move-in. Financial Aid funds are not available to pay the Security/Cleaning Deposit. Students
using this plan must personally follow-up with the Financial Aid staff every couple of weeks to check the
status until their funds have all disbursed. Students are responsible for paying any balance remaining once
all financial aid has been disbursed. If the balance owed is not paid by the 10
th
week of the semester, a $20
late fee will be assessed monthly until the balance due is paid in full. This plan includes an annual handling
fee up to a total of $153. Contact Student Accounts to change plans if this obligation cannot be met.
Out-of-State Students: The PELL grant does not provide the funds to pay the full price of tuition and
housing; therefore, if y
ou are using Plan 4 it is required that you apply for a student loan to cover the balance
owed.
I have read and understand my payment due dates.
Page: 5 of 10
IV. MAINTENANCE OF PR
EMISES
(a) Feather River College Student Housing shall provide Licensee with the furnishings and in the condition noted on the Room Condition Inventory
(available upon check-in). Licensee agrees to give reasonable care to her/his living unit and its furnishings and to make payment for any damage or
loss promptly upon demand by Feather River College Student Housing. Licensee shall vacate the living unit in good order and repair; normal and
reasonable wear and tear accepted. In the event Licensee fails to maintain the living unit in good order and repair, Licensee shall pay Feather River
College Student Housing the reasonable costs incurred in returning the living unit to a condition of good order and repair. The Licensee will be
charged a security/cleaning fee according to a checklist of assessed damages and cleaning needs.
(b) Licensee shall make no alterations to the housing facility without the permission of Feather River College Student Housing. Any structural
addition or alteration is prohibited without written permission of Feather River College Student Housing Management.
(c) Licensee shall not possess any highly flammable material, firearm, ammunition, fireworks, explosives, dangerous weapons or any other material
or instrument which, in the opinion of Feather River College Student Housing authorities, poses an unreasonable risk of fire, damage or injury.
(d) Feather River College Student Housing shall not be responsible for any damages or losses that may occur in roads, driveways, parking lots or
parking areas.
Initial: _____
V. CANCELLATION BY LICENSEE PRIOR TO ACADEMIC YEAR FEE PERIOD
(a) Licensee may cancel their license after it has been approved by FRCSH by giving written notice to Feather River College Student Housing Office
at least 30 days prior to the beginning of the 2020-21 academic year fee period.
(b) A request to cancel a license less than 30 days prior to the beginning of the 2020-21 academic year fee period shall include Licensee's statement
of reasons. Feather River College Student Housing Management shall grant the request based on the following standards, with appropriate
verification: (1) end of student status, (2) marriage or (3) military duty. Feather River College Student Housing Management may grant, at its sole
discretion, the request based on the following standards, with appropriate verification: (1) extreme hardship beyond the control of licensee and (2) a
suitable replacement licensee is available to fill the vacated space. FRCSH shall make a reasonable effort to locate a suitable replacement licensee.
Initial: _____
VI. CANCE
LLATION AFTER THE BEGINNING OF THE ACADEMIC YEAR FEE PERIOD
(a) Licensee who requests to vacate the housing facility shall give at least a 30-day written notice of intention to vacate and the reason thereof. A
petition to terminate shall be obtained from Feather River College Student Housing Office, completed, and returned to the Student Housing Manager.
(b) Feather River College Student Housing Management shall grant a request to vacate submitted pursuant to subsection (a). The determination will
be based on the following standards, with appropriate verification: (1) graduation, (2) marriage or (3) military duty.
(c) Feather River College Student Housing Management may, at its sole discretion and on occasion, grant the request based on the following
standards, with appropriate verification of: (1) extreme hardship beyond the control of licensee and (2) a suitable replacement licensee is available to
fill the vacated space. FRCSH shall make a reasonable effort to locate a suitable replacement licensee.
(d) If request for cancellation is approved, Licensee’s financial obligation will be prorated by a daily rate for the dates of occupancy. The
security/cleaning deposit may be applied by the DISTRICT toward reimbursement for any cost incurred including (1) unpaid rent, (2) cleaning
expenses (3) repairs for room damage (will be based on current replacement and/or repair costs), (4) replacement of other items including lost or
damaged keys, equipment or furnishings. The $400.00 Security Deposit will otherwise be refunded. Initial:______
VII. REVOCATION OF LICENSE AGREEMENT
(a) Feather River College Student Housing Management may revoke this License Agreement and evict the Licensee upon the following conditions:
(1) Serious or repeated failure to comply with housing policies and procedures as stated in the License Agreement or Student Housing Handbook. If
a resident is asked to vacate the housing facility as a result of disciplinary action as defined in the Student Housing Handbook, FRCSH expressly
reserves the right to charge for the full academic year according to the License Agreement. All such failures are considered “non-curable” breaches
of the Agreement with the exception of payment or fees.
(2) Failure of Licensee to maintain status as a student at Feather River College and housing space is needed for other students.
(3) Licensee's serious or repeated breach of any term or condition of this License Agreement or the Student Housing Handbook (“non-curable”)
including failure to pay required payments and fees (“curable”).
(4) Licensee engaging in conduct that endangers the
safety or well-being of other residents, as reasonably known by management, or the conviction
of a felony.
(5) Administrative necessity (for example: facility repairs, safety or emergency) as determined by the Student Housing Management.
(b) FRCSH Management shall provide notice to Licensee not less than 72 hours prior to revocation of license resulting from an occurrence described
in subsections above, except in cases of emergency, such as (4) or (5). In the event a license is revoked, the security/cleaning deposit will be
applied as described above. Initial:_____
VIII. ABANDONMENT OR TERMINATION BY LICENSEE
Except as permitted in Section V or VI, termination of this License Agreement or abandonment of the premises by Licensee shall not release
Licensee from paying any obligation due Feather River College Student Housing. Under certain circumstances, revocation, termination or
abandonment, Licensee may be released from this agreement if a suitable replacement occupant is found, upon approval of Student Housing
Management. FRCSH shall make a reasonable effort to locate a suitable replacement licensee. Licensee’s personal belongings left on property will
be disposed of in accordance with legal requirements. Initial:_____
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IX. DESTRUCTION OR UNAVAILABILITY
In the event that bed space
is destroyed or becomes unavailable as the result of conditions not reasonably foreseen at the time this License
Agreement is made, Licensee shall be entitled to a prorated refund of any fees applicable to periods after Licensee was required to vacate. Such
conditions include, but are not limited to, damage caused by floods, slides, fire, earthquake, other natural disasters, and vandalism; civil disorder;
compliance with state or federal law; unanticipated interruption of basic services; drop in the rate of vacancies or cancellations not reasonably
foreseen by FRCSH if such drop results in an over-booking of available housing facilities. Initial: _____
X. REFUND OF PAYMENTS
Feather Riv
er College Student Housing shall authorize refunds of payments only as provided for in the License Agreement and Student Housing
Handbook. Initial: _____
XI. VACATING THE HOUSING FACILITY
Licensee shall promptly vacate the housing facility on the expiration of the fee period or upon revocation of this License Agreement, whichever
occurs first, after due notice and in accordance with license agreement and legal requirements. Student housing facilities are closed during winter
recess when the rest of the campus is closed for an extended period of time (normally December 24-January 1 but consult district calendar for
exact dates). Residents must make alternate housing arrangements during this time.
Initial: _____
XII. PAYMENT PROCEDURE
(a) Payments are due in accordance w
ith the payment plan chosen by the resident.
(b) If payment is not received within five days of the due date, a $20 late fee will be assessed monthly until the balance due has been paid in full.
(c) Resident is liable for the entire 2020-21 academic year lease obligations as stated in license agreement.
Initial: _____
XIII. TREATMENT OF INDEBTED
NESS
Failure of Licensee to satisfy the financial obligations of this License Agreement may result in action by the FRCSH, including but not limited to:
(a) Assessment of a late fee, in accordance with the fee schedule.
(b) Revocation of the License Agreement.
(c) Eviction.
(d) Withholding of Feather River College services or records pursuant to the License Agreement and Student Housing Contract.
This includes: 1) Withholding official Feather River College transcripts / records. 2) Denial of registration.
(e) Offset of loans, grants, scholarships, and/or earnings payable through Feather River College.
(f) Referral to an outside collection agency, and/or a credit reporting agency; and/or legal action.
(g) Submission of your debt information to the Franchise Tax Board for possible deduction of payment from your tax refunds or other money the
state may owe you.
(h) Licensee agrees to pay all costs incurred by the Feather River College Student Housing to effect collection in the event of Licensee’s default.
(i) Licensee authorizes Feather River College Student Housing, its agents, and any collections agency or legal counsel under their direction to
contact any individual, school, employer, doctor, or state/federal agency in order to substantiate information, including current address, relevant to
collection of this debt. Initial: _____
XIV. RIGHT OF ENTRY
Feather River
College Student Housing shall have the right to enter the premises occupied by licensee for the purposes of damage inspection,
emergency, health, safety, maintenance, administration of applicable rules and regulations, or for any other lawful purpose. Initial: _____
XV. INSURANCE
(a) During the period cov
ered by this License Agreement, Licensee is recommended to obtain health, accident and renter’s insurance.
(b) Feather River College Student Housing does not have insurance to cover the personal or property damage of Licensee. Therefore, FRCSH
highly recommends that Licensee obtain insurance, such as renter's, accident and health policies. The FRCSH assumes no responsibility for
licensee’s personal property. Initial: _____
XVI. VISITORS AND GUESTS
Licensee shall permit no visitors or guests to enter the housing facility except as permitted under the Student Housing Handbook and License
Agreement. Minors under the age of 18 must have parental supervision and must be checked-in at the Office, Security Office or RA office.
Overnight visitors must be checked in at the Office, Security Office or Resident Assistant (RA) office in accordance with the handbook.
Initial: _____
XVI. NON-WAIVER
The waiver by FRCSH of any br
each of a term or condition of this License Agreement shall not constitute a waiver of any other or subsequent
breach. Initial: _____
XVIII. SECURITY
While Student Housing Managem
ent makes an effort to provide safe and secure premises, Student Housing Management shall not be liable for
resident’s safety. Residents must take full responsibility for their individual safety and should behave accordingly and take appropriate precautions.
Examples might include walking in groups, walking on well lighted paths during evening hours, locking doors and windows, not sharing or loaning
room keys, not opening doors to strangers, etc. Initial: _____
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XIX. RELEASE OF INFORMATION
I authorize FRCSH to discuss my payments, academic standards, and /or behavior with my parents, guardians, or payee, as needed, if it will have
an effect on my financial commitments.
In the event of an emergency, illness, injury, or concern for safety and well-being, I authorize FRCSH to contact my emergency contact, parents,
guardians, or payee and/or if deemed necessary, the paramedics and allow them to transport me to a local hospital by ambulance for appropriate
medical care.
Initial: _____
ACKNOWLEDGEMENT:
This 2020-21 Student Housing License Agreement is entered into between Feather River College Student Housing hereinafter called
"FRCSH" and the Student Housing Applicant hereinafter called "Licensee.” THIS LICENSE AGREEMENT IS A CONTRACT FOR THE ENTIRE
2020-21
ACADEMIC YEAR. In consideration for the right to occupy an assigned space within the Feather River College Student Housing
facility, the signature of the Licensee hereby certifies that they have read, understand and agree to comply with all terms, dates, conditions,
policies, and procedures of the Student Housing License Agreement and FRC Student Housing Handbook, and agree to make payments to
FRCSH in accordance with one of the payment plans. If the Licensee and FRCSH jointly execute a License Agreement after the beginning of
the fee period, standard fees will be charged on a prorated basis for the balance of the academic year. The fee period is defined as the
2020-21
academic year period.
Student Housing Applicant (print): _____________________________________________________________________________________
Signed _________________________________________________________ Date:___________________________________________
Parent/Guardian Name (print): __________________________________________________________________________________________
Signed: ________________________________________________________ Date: __________________________________________
(Parent or Guardian for student under 18 years of age)
Return of the:
Signed copy of this Application/License Agreement,
$50 non-refundable application fee (we accept cash, Visa, MasterCard or check - make check payable to Feather River College),
Guarantor Agreement, and
Photocopy of Applicant's and Guarantor's Driver’s License or Photo ID
=============================================================
=============================
For Office Use:
Signed Student Housing License Agreement
$50 Application Fee
Guarantor Agreement
Photocopy of Applicant’s and Guarantor's Driver’s License or Photo ID
This Student Housing License Agreement is hereby accepted by the Feather River College Student Housing Office.
Signed: ____________________________________________ Date: _____________________________________________
shall constitute acceptance of the Student Housing Application/License Agreement by the student and parents/guardian/legally
responsible person if the student is under 18 years of age. The application is considered accepted once the complete Application/License
Agreement, application fee, and required documents have been received.
Send completed Application/License Agreement to:
OR
Email to: studenthousing@frc.edu
FRC Student Housing
300 Golden Eagle Avenue
Quincy, CA 95971
Page: 8 of 10
Feather River College Student Housing
300 Golden Eagle Ave
Quincy CA 95971
530-283-0202 ext. 414
530-283-9289 FAX
Applicant
Signature:_____________________________________________________________ Date:_______________________
FOR OFFICE USE ONLY:
Copy to Financial Aid Office: ____________________________________
(date)
Copy to Student Accounts Office: ________________________________
(date)
Financial Aid Payment Form
For FRC Student Housing Payment Plan #4
(This plan can NOT be used to pay for the application fee, security deposit, activity fee, or parking)
Applicant Name:___________________________________________________________________________________
Student ID#:_____________________________
Date 2020-2021 FAFSA completed:___________________________________
Does your FAFSA have the FRC School Code of 008597 on it? _____ YES ______ NO
Please read and initial the following:
______ I understand that my Financial Aid, which may include student loans, will first be used to pay my enrollment fees
then my housing fees.
______ I understand that by dropping or adding classes my Financial Aid Award WILL be affected and that I need to go
see Financial Aid to ensure my enrollment and housing fees are paid.
______ I understand that I am obligated to pay from other sources if my Financial Aid Award does not cover all of my
Housing Fees.
______ I understand that I am responsible to follow up frequently with Financial Aid to check the status of my file and to be sure
that my aid can disburse into my student account.
______ Out of State Students: I understand that the PELL grant does not provide the funds to pay the full price of tuition and
housing and that I am required to apply for a student loan to cover the balance owed.
Page: 9 of 10
FEATHER RIVER COLLEGE STUDENT HOUSING
GUARANTOR / PRIMARY OBLIGOR AGREEMENT
(GUARANTEE OF 2020-21 ACADEMIC YEAR
STUDENT HOUSING LICENSE AGREEMENT)
Unless released in wr
iting by Owner, Guarantor expressly acknowledges that he will be and remain jointly and
severally liable as a primary obligor for the terms and indebtedness hereunder and expressly acknowledges the
reliance hereon of the Owner.
Guarantor hereby expr
essly and irrevocably waives any right to assert against Owner any defense (legal or equitable),
subrogation, set-off, counterclaim or other right.
In regard to this Guarantor/Primary Obligor Agreement, the Guarantor/Primary Obligor must be a relative or
family friend over 25 years of age.
In consideration of the execution of the 2020-21 Academic Year Student Housing License Agreement for
Feather River College Student Housing located in Quincy, California, by and between
________________________________________ (Resident) and Feather River College Student Housing, hereby
known as Owner, and signed on Page 7 of the Student Housing Application & License Agreement by Resident on
___________________(date); ________________________________________ (Guarantor / Primary Obligor of
Resident), hereby known as Guarantor, does hereby jointly and severally guarantee unconditionally to Owner,
Owner’s Agent and/or Owner’s successor and assigns, the prompt performance of all terms, covenants and
obligations and payment by Resident or Guarantor of the payment and any other sums which become due pursuant to
the Student Housing License Agreement, including any and all court costs or attorney’s fees incurred in enforcing the
Student Housing License Agreement.
Guarantor warrants and represents that he will benefit directly or indirectly from Resident’s acceptance of the Student
Housing License Agreement and acknowledges that such represents full and complete consideration herein.
In the event of any breach of any terms of the Student Housing License Agreement or the Student Housing Handbook
by Resident, Guarantor shall be jointly and severally liable for any damages, financial or physical, caused by
Resident, including any legal fees incurred in enforcing the Student Housing License Agreement, the Student Housing
Handbook or this Guarantee. Guarantor shall have no longer than fifteen (15) days to make full payment of such
amounts that are due.
This Guarantee may be immediately enforced by Owner or Owner’s Agent upon any default by Resident and an
action against Guarantor may be brought at any time without first seeking any recourse against Resident.
The insolvency of Resident or nonpayment of any sums due from Resident will be deemed as default giving rise to
action by Owner or Owner’s agent against Guarantor.
If any legal action or other proceeding is brought by Owner to enforce any part of the Student Housing License
Agreement, Student Housing Handbook or this Guarantee, Owner shall be entitled to be reimbursed for reasonable
attorney’s fees and costs incurred from Resident or Guarantor.
This guarantee does not confer a right to possession of the premises by Guarantor, and Owner is not required to serve
Guarantor with any notices to terminate or to perform covenants, including any demand for payments or any action or
proceeding against Resident, prior to Owner proceeding against Guarantor’s obligation under this Guarantee.
Page: 10 of 10
If Owner or Ow
ner’s Agent contacts Guarantor for any violations by Resident it is agreed that it is in the best interest
for all parties that the Guarantor ensures that the Resident complies with Student Housing disciplinary actions.
However, Owner is NOT obligated to inform or discuss with Guarantor any situation regarding the Resident.
GUARANTOR / PRIM
ARY OBLIGOR:
Name of Guar
antor / Primary Obligor: _________________________________
Date of Bir
th: _____________________________________________________
Address: ______________
___________________________________________
City, State
, ZIP: ___________________________________________________
Social Security #: _________________________________________________
Driver’s L
icense # and State:_________________________________________
Home Phone: ___________________
__________________________________
Work Phone: ___________
__________________________________________
Employer’s N
ame: _________________________________________________
Employer’s A
ddress, _______________________________________________
City, State
, ZIP: ___________________________________________________
Your Position or Job: _______________________________________________
Supervisor’
s Name: ________________________________________________
Student Resident’s Name: ___________________________________________
Guarantor’s
relationship to Resident:___________________________________
PLEASE INCLUDE A CLEAR PHOTO COPY OF GUARANTOR’S DRIVER’S LICENSE
I verify t
hat all information given above is true and correct and authorize Owner to verify any information provided to
obtain all relevant credit information. By signing this agreement I give Owner the right to obtain a credit report and
employment verification and I accept all terms listed and within this Agreement.
I accept this
Guarantee and Agreement:
Guarantor / Primary Obligor Signature: ______________________________Date:______________
Owner’s Agen
t: _________________________________________________Date: _____________
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