Fillable Returning Student Exemption Form 20 21 JUNE UPDATE (Wilmington College)

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Returning Student Exemption Form 20 21 JUNE UPDATE (Wilmington College)

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2020-2021
Housing Exemption & Commuter
Application Form
SECTION I – STUDENT INFORMATION
NAME:
ID #
DATE OF BIRTH:
PERMANENT ADDRESS:
CELL PHONE:
STATE:
ZIP:
PROPOSED EXEMPT ADDRESS:
CITY:
STATE:
ZIP:
SECTION II – EXEMPTION REQUEST
I AM APPLYING FOR HOUSING EXEMPTION BASED ON THE FOLLOWING CRITERIA:
A
I WILL BE A PART-TIME STUDENT TAKING LESS THAN 12 CREDIT HOURS.
B
I WILL BE LIVING WITH MY PARENTS AT THEIR PRIMARY ADDRESS WITHIN 30 MILES OF WC.
(
COMPLETE SECTION III).
C
I AM LEGALLY MARRIED. (MARRIAGE LICENSE MAY BE REQUIRED.)
D
I AM A SINGLE PARENT WITH DEPENDENT CHILD WHO LIVES FULL-TIME WITH ME AT MY PRIMARY ADDRESS
AND IS IDENTIFIED AS A DEPENDENT ON MY FAFSA
.
E
I WILL BE 23 YEARS OF AGE BY THE FIRST DAY OF CLASSES SEMESTER.
F
I AM A MEMBER OF A FRATERNITY AND WILL BE LIVING IN THE ORGANIZATION-OWNED HOUSE AND HAVE BEEN
APPROVED BY THAT ORGANIZATION’S HOUSE MANAGER. A LIST OF APPROVED RESIDENTS AND OTHER
REQUIRED DOCUMENTATION MUST BE PROVIDED TO HOUSING BY THE DEADLINE (July 1st, 2020).
IF THE LIST AND SUPPORTING DOCUMENTATION HAS NOT BEEN SUBMITTED TO THE HOUSING OFFICE THIS EXEMPTION WILL NOT BE APPROVED.
G
I WILL BE STUDYING ABROAD (PROCEED TO SECTION IV).
H
I WILL BE STUDENT TEACHING OUTSIDE OF THE 30-MILE RADIUS OF WILMINGTON COLLEGE, THUS RESIDING
WITH MY PARENTS IN THEIR PRIMARY ADDRESS
.
I
I HAVE LIVED IN CAMPUS HOUSING FOR AT LEAST EIGHT (8) SEMESTERS.
J
I ELECT TO OPT-OUT OF THE HOUSING POLICY. BEFORE MAKING A DECISION TO LIVE OFF-CAMPUS, YOU
SHOULD CHECK WITH FINANCIAL AID
. CHOOSING THIS OPTION WILL DECREASE YOUR WILMINGTON COLLEGE
INSTITUTIONAL AID
.
K
OTHER: PLEASE EXPLAIN IN DETAIL ON A SEPARATE PIECE OF PAPER AS TO WHY YOU THINK YOU SHOULD BE
GRANTED AN EXEMPTION. THE EXEMPTION WILL BE REVIEWED ON AN INDIVIDUAL BASIS BY THE HOUSING
EXEMPTION REVIEW BOARD. THE DATE FOR THIS DEADLINE IS July 1st, 2020
IF YOU HAVE A SPECIAL REQUEST THAT DOESN’T MATCH STANDARD (A-J) CRITERIA.
MEAL PLAN:
*PRICES SUBJECT TO CHANGE
I DO NOT WANT A MEAL
PLAN
.
35 BLOCK MEALS
$50
QUAKER BUCKS
$325/SEM*
50 BLOCK MEALS
$100
QUAKER BUCKS
$500/SEM*
SECTION III – CERTIFICATION OF EXEMPTION
I AFFIRM THAT I WILL BE LIVING AT HOME WITH MY PARENT(S)/LEGAL GUARDIAN(S) AND AGREE NOT TO LIVE IN ANY OTHER
PLACE
(EX: OFF CAMPUS APARTMENT, HOUSE). IF I AM FOUND TO BE LIVING IN AN OFF-CAMPUS APARTMENT OR ANY OTHER
PLACE OTHER THAN WITH MY PARENT
(S)/GUARDIAN(S), I ACCEPT FULL RESPONSIBILITY AND AGREE THAT I WOULD BE
PROVIDING FALSE INFORMATION TO THE COLLEGE
. I FURTHER UNDERSTAND THAT IF I AM FOUND TO BE LIVING ANY OTHER
PLACE THAN AT HOME WITH MY PARENT
(S)/LEGAL GUARDIAN(S) THE FOLLOWING MAY OCCUR:
•
I MAY BE SUBJECT TO DISCIPLINARY ACTION.
•
MY EXEMPTION WOULD BE CONSIDERED UNDER THE “OPT OUT” POLICY AND I AM SUBJECT TO LOSE WC
INSTITUTIONAL AID
.
MY PARENT(S)/LEGAL GUARDIAN(S) UNDERSTAND THIS POLICY AND ARE NOT AWARE OF ANY INTENTIONS FOR ME TO MOVE
ELSEWHERE
. THE INFORMATION THEY PROVIDE ON THE BACK OF THIS FORM IS ACCURATE.
STUDENT SIGNATURE:
DATE:
SECTION IV – EXEMPTION TERMS & CONDITIONS
1. STUDENTS WHO DO NOT FILE AN EXEMPTION APPLICATION BY THE DEADLINE
(July 1st, 2020 | NOON EST)
WILL BE
ASSESSED AN ADMINISTRATIVE HOUSING FEE OF $100.00 (ONE HUNDRED DOLLARS) AND WILL BE CONSIDERED UNDER
HOUSING CONTRACT.
2. IF THE EXEMPTION IS FILED AFTER THE DEADLINE
(July 1st, 2020 |NOON EST),
A HOUSING ASSIGNMENT HAS BEEN GIVEN
AND IF THE EXEMPTION IS APPROVED, THE STUDENT WILL BE ASSESSED A CONTRACT CANCELLATION FEE OF $500.00
(FIVE HUNDRED DOLLARS) IF THE STUDENT FILES AFTER THE FIRST BUSINESS DAY OF AUGUST OF THAT PROCEEDING
CALENDAR YEAR.
3. BEFORE MAKING A DECISION TO LIVE OFF-CAMPUS, YOU SHOULD CHECK WITH FINANCIAL AID. IN MOST CASES, YOUR
WILMINGTON COLLEGE INSTITUTIONAL AID WILL BE ADJUSTED.
4. THIS EXEMPTION APPLICATION WILL BE REVIEWED BY THE WILMINGTON COLLEGE EXEMPTION REVIEW BOARD. A WRITTEN
NOTIFICATION WILL BE SENT TO THE STUDENT’S CAMPUS MAILBOX AND TO THE PARENT’S HOME ADDRESS.
STUDENT SIGNATURE:
DATE:
FOR HOUSING OFFICE USE ONLY
EXEMPTION APPROVED
EXEMPTION APPROVED
DECISION DATE:
REVIEW BOARD
SIGNATURES
:
1.
2.
3.
4.
5.
6.
ADDITIONAL COMMENTS:
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Returning Student Exemption Form 20 21 JUNE UPDATE (Wilmington College)

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Completed 25 July 2020

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