Fillable Pre Assignment Application

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Pre Assignment Application

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Haskell Indian Nations University
Residential Hall
Pre-Assignment Criteria
The Residential Housing program is offering pre-assigned housing to continuing students. Pre-assigned
housing allows you to choose your roommate and the Residential hall. You must meet the following
criteria:
1. PRE-ENROLL Pre-enroll in 12 or more hours.
2. PRE-ASSIGN Complete the Residential hall pre-assigned application.
3. Attach a copy of the class schedule to verify pre-enrollment.
4. Proper checkout from current or previous residence halls is required. Cleaning or damage fines
obtained during check-out will void your pre-assigned application.
5. ONLY COMPLETED APPLICATIONS WILL BE ACCEPTED.
If you meet all these criteria, the College Resident Assistant staff will assign you a room. Assignments will
be made on first come/first serve basis. If you are applying for a room that you currently reside in and
you meet the above criteria, and are requesting the same room, you will have first priority for that room.
Please remember that failure to check in on the specified date indicated on the school calendar will result in
forfeiture of the pre-assigned room.
Applications for pre-assigned Housing will be available on the Residential Housing website on the date pre-
enrollment begins. You may pick up an application from the College Resident Assistant in your Residential
hall or from the Residential Hall Office located in 1109 OK Hall. The deadline to submit your application is
the week after pre-enrollment ends.
You are encouraged to complete this process and submit your application as soon as possible.
All continuing students are required to fill out the following information and submit to the CRA in the
Residential Hall for pre-assigned Housing. Students must also complete the pre-enrollment process.
Submit a copy of their class schedule and must not have any outstanding fines from previous semesters.
The last date to turn in your application is the week after pre-enrollment ends.
Residential Housing: Haskell Indian Nations University: March 2014
Haskell Indian Nations University
Pre-Assigned Housing Application
Conditions for Pre-Assigned
Housing
Student is responsible to call
the housing program if they
have a change in plans and are
not returning. This should be done
at least two (2) weeks prior to
residential hall opening.
If the student is unable to be
here on date and time specified
they must call and ask for an
extension.
Roommate preference:
see reverse
side.
Any student who, at the end of
the semester, has been placed
on academic suspension, lost
their housing due to code
violations, have not completed
immunizations, has outstanding
fees or fines, could have their
application automatically voided.
If student agrees to adhere to
these conditions that are set forth,
a signature must be presented on
this application.
ALL Housing Policies and
Procedures will be applied and
used in reviewing all applications
made to HINU Housing.
Signature
Date
PERSONAL DATA:
Last First MI
Home Address
City State ZIP
Phone Number
(Including Area Code)
Date of Birth
Male
Female
Please list the last dorm you resided in:
College Classification:
(please choose one)`
Freshman
Sophomore
Junior
Senior
Winter Storage Contract:
(please choose one)
Yes
No
Do you have any special requirements (i.e. physical, disabilities, etc.)? If
yes, please contact: Residential Housing Office, 1109 Osceola-Keokuk,
785-749-8460.
(please choose one)
Yes
No
EMERGENCY CONTACT:
Last First MI
City State ZIP
Phone Number
(Including Area Code)
Residential Housing: Haskell Indian Nations University: March 2014
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Haskell Indian Nations University
Pre-Assigned Housing Application
Preference of Residence Hall
Please mark your choice of residence hall by priority, (Example 1 is first choice, 2 is second choice). If all
criteria for receiving pre-assigned housing are met, staff will assign you a room.
All students that are approved for pre-assigned housing will need to report on the date indicated on the
school calendar 12:00 pm (noon) or your room will be assigned to another student. If you have questions,
please contact the Residential Hall Supervisor or visit the Housing Office located in 1109 OK Hall, or call
(785) 749-8460.
Osceola-Keokuk Co-ed Dorm – Priority given to student athletes who participate in varsity sports.
Roe Cloud Hall Co-ed Dorm – Continuing students.
Winona Hall Co-ed Honor dorm – Semester GPA of 2.8 – 4.0, good academic and social standing
is required. (Must complete a separate Winona Hall application). Priority will be given to continuing
students for pre-assigned spaces.
Room Number:
Roommate(s) Preference:
Roommate(s) must also qualify and complete the Pre-Assigned Housing application process.
New Freshman and Transfer Students
Blalock Hall (men’s dorm) will house all new male freshman and transfer students.
Pocahontas Hall (women’s dorm) will house all new female and transfer students.
For Housing Office use only:
Date Received Received By Pre-enrolled
Residential Housing: Haskell Indian Nations University: March 2014
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Pre Assignment Application

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Completed 23 January 2020

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