Assigned Unit. Key# Check-in Date Residence Life Staff Completed and Signed Student Family Housing Application Background Check Clearance (5-year history) for all applicable family members Class Schedule (Must be full-time each semester 12+/summer term 6+) Copies of birth certificates for all dependents. Married students applying for family housing must provide a marriage certificate/license or certified court order of a traditional Navajo wedding, common law marriage or child’s birth certificate listing both parents. Verification of Income (Pell Grant, Scholarships, paystubs, etc.) Enrollment verification from child(ren)’s school. Verification of COVID19 Vaccination for those 16 years of age and older $250.00 Security Deposit (must be paid when application is approved) I am applying for on-campus housing for the following semester/session: Student must reapply each semester for on-campus housing. GENDER MALE FEMALE BIRTHDATE / / MAJOR (DEGREE SEEKING) Each housing unit has a living room, dining area, bathroom, kitchen, and bedrooms. All units are furnished with a queen- size bed and a dresser in the master bedroom, plus a bunk-bed and one dresser in each additional room. Other furnishings include kitchen table/chairs, and living room furnishings (sofa, end table, and coffee table). $600.00 Per Month (utilities included) $500.00 Per month (utilities included) Fill out the information below for self/spouse and/or dependent(s) that will be living in the unit. ONLY immediate family (self, spouse, dependents under the age of 18) of the student may live in the family housing unit. All adults over the age of 18 years of age must have background check clearance. NAME DATE OF BIRTH AGE RELATION TO STUDENT
Appears in 1 contract
Sources: Student Family Housing Agreement
Assigned Unit. Key# Check-in Date Residence Life Staff Completed and Signed Student Family Housing Application Background Check Clearance (5-year history) for all applicable family members (must be updated yearly) Class Schedule (Must be full-time each semester 12+/summer term 6+) Copies of birth certificates for all dependents. dependents Married students applying for family housing must provide a marriage certificate/license or certified court order of a traditional Navajo wedding, common law marriage or child’s birth certificate listing both parents. parents Verification of Income (Pell Grant, Scholarships, paystubs, etc.) Enrollment verification from child(ren)’s school. school Verification of COVID19 Vaccination for those 16 years 6-mths of age and older (must be fully vaccinated) $250.00 Security Deposit (must be paid when application is approved) I am applying for on-campus housing for the following semester/session: Student must reapply each semester for on-campus housing. FALL 20 SPRING 20 SUMMER SESSION I 20 SUMMER SESSION II 20 STUDENT INFORMATION: LAST NAME FIRST NAME MI STUDENT ID # GENDER MALE FEMALE BIRTHDATE / / MAJOR (DEGREE SEEKING) CURRENT MAILING ADDRESS CITY STATE ZIP CODE PHYSICAL HOME ADDRESS CITY STATE ZIP CODE EMERGENCY CONTACT: NAME PHONE # RELATION TO STUDENT NAME PHONE # RELATION TO STUDENT UNIT SIZE PREFERENCE: Check one $500.00 Per month (utilities included) Each housing unit has a living room, dining area, bathroom, kitchen, and bedrooms. All units are furnished with a queen- size bed and a dresser in the master bedroom, plus a bunk-bed and one dresser in each additional room. Other furnishings include kitchen table/chairs, and living room furnishings (sofa, end table, and coffee table). $600.00 Per Month (utilities included) $500.00 Per month (utilities included) DEPENDENTS LIVING AT THE APARTMENTS Fill out the information below for self/spouse and/or dependent(s) that will be living in the unit. ONLY immediate family (self, spouse, dependents under the age of 18) of the student may live in the family housing unit. All adults over the age of 18 years of age must have background check clearance. NAME DATE OF BIRTH AGE RELATION TO STUDENTSTUDENT SOURCE OF INCOME How will you be paying for your on campus living expenses? Please mark all that apply Pell Grant: Did you submit your FAFSA with the Financial Aid Office? Scholarships – (Navajo Nation, Chapter, Private, etc.) Other – Please list: • If student is paying out of pocket, a payment plan is required with Student Accounts prior to moving in. • Any/all financial resources/awards will be verified with Financial Aid Office.
Appears in 1 contract
Sources: Student Family Housing Agreement