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Housing Application/Agreement

Housing Application/Agreement
Introduction
The concept of on-campus housing at Howard Payne University embodies much more than an assignment in a residence hall. The residential community is an integral part of the University. Residence within this community implies certain obligations and standards of citizenship. Thus, a large measure of responsibility is delegated to residents in the areas of social life, extracurricular activities, conduct, and the protection of University property.  Violation of University polices and regulations may result in disciplinary action and/or termination of this agreement. Students are advised to acquaint themselves with the Student Handbook and the Howard Payne University Catalog prior to moving into campus living facilities.

The University complies with all applicable federal and state nondiscrimination statutes and does not engage in prohibited discrimination on basis of race, creed, color, national or ethnic origin, sex, religion or handicap. In certain circumstances, Howard Payne University may exercise the authority to interpret, revise, extend, or grant exceptions to this agreement on the basis of need and merit of individual cases.
First Name
Last Name
Name I Prefer to Be Called (if different)
Are you a NEW or a RETURNING Student to HPU?

Email
Street Address
City:
State
Zip Code
Indicate semester you plan to enter:




Academic year for which you are applying:

Transfer Student?

Gender:

Social Security Number: (Optional) - -
HPU Student ID # (If known)
Birth Date:
RadDatePicker
Open the calendar popup.
 
Cell Phone
Permanant Phone
Emergency Contact Name:
Emergency Phone:
Emergency Work Phone:
Classification



Residence Hall Preference:


Roommate Request (Must be mutual)
Meal Plan


Do you require any special housing accommodations because of a disability?

*If yes, please explain
Have you ever been convicted of a crime, or are there charges currently pending against you?

*If yes, please state where, when and the nature of the offense.
I acknowledge that I am required to be vaccinated against bacterial meningitis at least 10 days prior to moving onto campus. (See Health Form for more details)

.................................................... What is your High School Name & City?
Do you Facebook?

Major or intended major
Tentative Career Plans:
Activities in which you plan to participate at HPU: Use Ctrl or Shift keys to multi-select.
Favorite Music
Favorite Sport(s)
Favorite TV Show
Do you like to read?

Preferred kinds of reading:
I like to be around a lot of other people.

Most influential person(s) in your life:
Other Hobbies (list):
I would describe my housekeeping habits as:


I prefer to study during the:


When I study, I prefer:

I almost always go to bed before midnight on weekdays:

I almost always get up before 7:00 am on weekdays:

I need at least ___ hours of sleep nightly.



My interest in pursuing my walk with Jesus Christ is:


I snore:


In my family, my birth order is:



List any illnesses, medications, or disabilities limiting activities: (If none, put N/A)
I would describe myself as:
The qualities I most desire in a roommate are:
Any other information you would like to provide us?

Verification of Housing Agreement
This is an agreement between Howard Payne University and the named student, and with the parent or guardian of the student if the student is under eighteen years of age, for a residence hall assignment only. It does not constitute a commitment of admission to the University. This agreement may be terminated only under the conditions specified herein. Students and parents/guardians are urged to carefully read this agreement. When this form is completed and returned to the Office of Student Life, it becomes a binding agreement between the student (the parent or guardian if the student is under 18 years of age) and the University.

Howard Payne University requires full-time, unmarried students between the ages of 17 and 22 who are not living with parents to live in a University residence hall for four (4) full semesters (i.e., fall and spring semesters) until 60 verifiable credit hours are completed or the student reaches 22 years of age. Students under the age of 17 are restricted from living in University housing.  University housing is reserved for students who are registered as full-time students (12 or more semester credit hours).

This agreement is binding for the full academic year, does not guarantee assignment to a particular room or residence hall, and is binding regardless of the room assignment.