Housingfeesaretobepaidafteryou
havereceivedanacceptanceletter.
DivisionofResidentialHousing
155IndianAve.,Box5032
Lawrence,KS660464800
Phone(785)7498460
Fax(785)8326618
FACILITIESANDSERVICES
Eachresidencehallhasprofessional
staffandstudentaidestoassistwith
collegelife.Mosthallscontain
televisionrooms.Inaddition,vending
machineservicesareavailabletothe
residents.Allroomsareequippedtwin
sizedbeds,wardrobeclosets,drawer
space,desksandchairs.
ResidentialHallsaresmoke
free.
Mealsareservedinthecampusdining
hall(Curtis).Studentsresidinginthe
residencehallsareentitledtothree
mealsperdayMondaythroughFriday,
andtwomealsonweekendsand
holidays.
EachstudentatHaskellisassigneda
mailboxandwillpickuptheirmailat
thecampus
postofficelocatedin
Navarrehall.
Disclaimer:ResidentialHallprograms
willnotberesponsibleforanydamaged
lostorstolenpersonalproperty.
Personalpropertymustberemoved
fromtheresidentialhallonthelastday
ofthestudent’soccupancy. Personal
propertyremaininginresidentialhalls
afterthestudentisno
longerresiding
therewillbecomepropertyofthe
Universityanddonatedtocharityor
storedattheowner’sexpense.
HaskellIndianNationsUniversity
ONCAMPUSHOUSINGAPPLICATION
PERSONALDATA

LastName First Middle
Address

City State ZipCode

AreaCode Telephone# EmailAddress
EMERGENCYCONTACT

LastName First Relationship
Address

City State ZipCode

AreaCode Telephone#
Applyingfor: Fall Spring Summer
Male Female
Age DateofBirth
HaveyoueverattendedHaskellbefore? Yes  No
Ifyes,pleaselistthedatelastattendedandwhichdormyouresidein:
COLLEGECLASSIFICATION
Freshmen Sophomore Junior Senior
SPECIALACCOMODATIONS
Handicapaccessibleroomsareavailable.Pleasenotifyourofficeifyou
havesucharequest.YoumayalsocontactPerryGraves,Disabilities
Coordinatorat(785)8326607.
PleasereadtheenclosedHousingContractthoroughlybefore
signing.
Thecontractandapplicationshouldbereturnedtothefollowing
address:
HaskellIndianNationsUniversity
ResidentialHousing
155IndianAve.,Box5032
Lawrence,KS66046
Feescanbemailedto:HaskellBusinessOffice
155IndianAve.,Box5026
Lawrence,KS66046
OnCampusFee:$715.00(includesthe$180.00HousingFee)
OffCampusFee:$240.00
DISCLAIMER:
“ResidentialHousingwillnotbeheldlegallyresponsible,should
anincidentoccur,foranyfalseorinaccurateinformationthatis
providedbythestudentinreferencetothiscontract,including,
butnotlimitedto,personalhistory,personalproperty,orprior
criminalconvictions.Shouldcriticalinformationinthecontract
befalsifiedbyanapplicant,ResidentialHousingreservestheright
totakeactionagainstsaidindividual.”
Signature
Date
FOROFFICEUSEONLY
Applicationreceivedon:
Checkone:
New Transfer Readmitted Double Continuing
Clearedandapprovedby:
Admissions
StudentConduct
BusinessOffice
MoneyOrder/Cashier’sCheck
Enclosed Yes

No
Forwarded
BusinessOffice
Paymentcanalsobemadeinperson
usingcashand/orcredit/debitcards.
Pleasemakesuretoprintyourname
andaddressonthemoneyorder.
ApprovedforHousing:
Yes No
By:
Date:
click to sign
signature
click to edit
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