Fillable Housing Application (Haskell Indian Nations University)

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Housing Application (Haskell Indian Nations University)

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The Housing Application (Haskell Indian Nations University) form is 2 pages long and contains:

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10 check-boxes
29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Haskell Indian Nations University

BROWSE HASKELL INDIAN NATIONS UNIVERSITY FORMS

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

Housingfeesaretobepaidafteryou

havereceivedanacceptanceletter.

DivisionofResidentialHousing

155IndianAve.,Box5032

Lawrence,KS66046‐4800

Phone(785)749‐8460

Fax(785)832‐6618

FACILITIESANDSERVICES

Eachresidencehallhasprofessional

staffandstudentaidestoassistwith

collegelife.Mosthallscontain

televisionrooms.Inaddition,vending

machineservicesareavailabletothe

residents.Allroomsareequippedtwin

sizedbeds,wardrobeclosets,drawer

space,desksandchairs.



ResidentialHallsaresmoke

free.



Mealsareservedinthecampusdining

hall(Curtis).Studentsresidinginthe

residencehallsareentitledtothree

mealsperdayMondaythroughFriday,

andtwomealsonweek‐endsand

holidays.



EachstudentatHaskellisassigneda

mailboxandwillpickuptheirmailat

thecampus

postofficelocatedin

Navarrehall.



Disclaimer:ResidentialHallprograms

willnotberesponsibleforanydamaged

lostorstolenpersonalproperty.

Personalpropertymustberemoved

fromtheresidentialhallonthelastday

ofthestudent’soccupancy. Personal

propertyremaininginresidentialhalls

afterthestudentisno

longerresiding

therewillbecomepropertyofthe

Universityanddonatedtocharityor

storedattheowner’sexpense.

HaskellIndianNationsUniversity

ONCAMPUSHOUSINGAPPLICATION

PERSONALDATA



LastName First Middle



Address



City State ZipCode



AreaCode Telephone# E‐mailAddress



EMERGENCYCONTACT



LastName First Relationship



Address



City State ZipCode



AreaCode Telephone#



Applyingfor: Fall Spring Summer 



Male Female



Age  DateofBirth



HaveyoueverattendedHaskellbefore? Yes  No 



Ifyes,pleaselistthedatelastattendedandwhichdormyouresidein:



COLLEGECLASSIFICATION

Freshmen Sophomore Junior  Senior



SPECIALACCOMODATIONS

Handicapaccessibleroomsareavailable.Pleasenotifyourofficeifyou

havesucharequest.YoumayalsocontactPerryGraves,Disabilities

Coordinatorat(785)832‐6607.



PleasereadtheenclosedHousingContractthoroughlybefore

signing.

Thecontractandapplicationshouldbereturnedtothefollowing

address:

HaskellIndianNationsUniversity

ResidentialHousing

155IndianAve.,Box5032

Lawrence,KS66046

Feescanbemailedto:HaskellBusinessOffice

155IndianAve.,Box5026

Lawrence,KS66046

OnCampusFee:$715.00(includesthe$180.00HousingFee)

OffCampusFee:$240.00



DISCLAIMER:

“ResidentialHousingwillnotbeheldlegallyresponsible,should

anincidentoccur,foranyfalseorinaccurateinformationthatis

providedbythestudentinreferencetothiscontract,including,

butnotlimitedto,personalhistory,personalproperty,orprior

criminalconvictions.Shouldcriticalinformationinthecontract

befalsifiedbyanapplicant,ResidentialHousingreservestheright

totakeactionagainstsaidindividual.”



Signature



Date



FOROFFICEUSEONLY

Applicationreceivedon:



Checkone:

New Transfer Readmitted Double  Continuing 



Clearedandapprovedby:

Admissions



StudentConduct



BusinessOffice



MoneyOrder/Cashier’sCheck

Enclosed Yes





Forwarded

BusinessOffice



Paymentcanalsobemadeinperson

usingcashand/orcredit/debitcards.

Pleasemakesuretoprintyourname

andaddressonthemoneyorder.



ApprovedforHousing:

Yes  No 



By:



Date:



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Completed 23 July 2020

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