STUDENT INFORMATION. Other. Please describe: Note: Only roommates of the same gender are allowed to share a room/suite in university housing.

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Warren McKinney
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1 HOUSING APPLICATION STUDENT INFORMATION I am 18 years or older: Yes No Date of Birth (mm/dd/year): If you are younger than 18, then you are ineligible for online application. You must print and submit a paper copy of the Housing Application and Contract, which must be signed by your parent or legal guardian. The Parental/Legal Guardian Consent Form is available online at lamar.edu/residence-life. I am applying as a: New LU student Returning LU student Transfer LU student New LIT student Returning LIT student Transfer LIT student TALH student Other. Please describe: I am a: Male Female Note: Only roommates of the same gender are allowed to share a room/suite in university housing. APPLICANT INFORMATION Your Name First: Middle: Last: Permanent Address City: State: Zip Code: Country (if not United States): Home Phone Number: Your Cellphone Number: Your LU/LIT ID Number: Your LU/LIT Applying for: & Spring 2016 Summer 2015 I am a: Freshman with fewer than 24 semester hours* Freshman with 24 or more semester hours Sophomore Junior Senior *Students who have fewer than 24 hours of college credit (not including credit by exam and hours earned from concurrent high school credit) who are enrolled in at least 12 hours must live in university housing, with limited exceptions. See lamar.edu/residence-life for a list of approved exceptions. Lamar University Department of Residence Life PO Box Beaumont, TX Telephone: Fax:

2 High School Attended: High School Location: (City, State) Graduation Date: (month/year) Will you be on an intercollegiate athletic scholarship? No Yes If yes, what sport? Will you be on an academic scholarship? No Yes If yes, describe: Does your scholarship cover part or all of your housing and meal plan costs? No Yes Not applicable COMMUNITY CONDUCT STANDARDS An affirmative response to any of the following questions must be accompanied by a written explanation of your specific situation. Failure to disclose an incident will subject you to potential revocation of your university housing assignment. 1. Have you ever plead guilty/no contest or been convicted of a criminal offense? (This does not include minor traffic offenses.) No Yes 2. Do you have criminal charges currently pending against you? (This does not include minor traffic offenses.) No Yes 3. Have you ever been dismissed, suspended, or placed on probation by any college or university for a NON-ACADEMIC reason? No Yes 4. Have you ever been evicted from university housing at any institution of higher learning? No Yes 5. Are you a registered sex offender? If yes, you are automatically disqualified and cannot live in university housing. No Yes For each Yes answer above, please describe/explain your situation in detail: PERSONAL INFORMATION The following information assists in the roommate selection process. Please answer for yourself. 1. I consider myself to be a: Morning person Late night person No preference 2. When do you tend to go to sleep? Before 10 pm Between pm Between pm After midnight 3. My room appearance is: Very neat Average Messy 4. How many hours do you study? Less than Over How important is socializing with friends? Not very Somewhat Very important 6. I am a: Non-smoker Smoker Housing Application, Page 2 of 5

3 7. Do you mind if your roommate smokes? Yes No Please be aware that tobacco use, including smokeless tobacco, is prohibited on the Lamar University campus. Students who violate this policy will be subject to the university student disciplinary process. ROOMMATE PREFERENCE In order for a roommate preference to be honored, both individuals MUST request each other. Please use first and last name when requesting a roommate. Only roommate preferences that are received by July 1 st will be considered. All suites in university housing are intended for double occupancy. If you do not designate a roommate preference, a roommate will be assigned to share the suite with you. Note: Residence Life does not guarantee roommate compatibility. By completing this section, you authorize Residence Life to share your information with potential roommates for the purpose of assigning a roommate. Do you have a roommate preference? Yes If yes, please identify your roommate preference: 1 st choice (First, Middle, Last Name): 2 nd choice (First, Middle, Last Name): No If you do not have a roommate preference, please complete the following so that Residence Life may better able match potential roommates. 1. Would you like to live with someone who is in the same or similar college? a. College of Arts and Sciences Yes No b. College of Business Yes No c. College of Education and Human Development Yes No d. College of Engineering Yes No e. College of Fine Arts and Communication Yes No 2. How important are your potential roommate s: a. Social habits: Not Very Somewhat Very Important b. Study habits: Not Very Somewhat Very Important c. Neatness habits (bathroom/common area): Not Very Somewhat Very Important d. Sleeping habits: Not Very Somewhat Very Important 3. Any other criteria that you might want to see in a roommate? Housing Application, Page 3 of 5

4 HOUSING RATES A private bedroom, with a shared bath and living room (Please select one.) $2,626 Spring 2016 $2,626 Married - $3,939 Married - Spring 2016 $3,939 Summer 1 $584 Summer 2 $584 Summer - Married Note: Cost of housing is subject to TSUS Board of Regents approval. MEAL PLAN Students living in residence halls are required to purchase a meal plan with their housing contract. Please select one of the following meal plans: A. B. C. D. E. F. Meal Plan: 90 Meals 10 Meals 14 Meals Unlimited Meals 50 Meals 50 Meals Plus Declining Balance Dollars: $450 $350 $150 $125 $200 $100 Available To: Commuter Students Only Semesters Available: $875 per session Price: Spring 2016 $1,290 Spring 2016 $1,400 Spring 2016 $1,400 Spring 2016 $1,525 Spring 2016 For more information, contact Dining Services. Summer I Summer II $450 Costs indicated above are for one semester. Cost of all meal plans includes required tax. Cost of meal plan is subject to TSUS Board of Regents approval. Meals can only be used in the Dining Hall, which offers a buffet-style food court. Declining Balance dollars can be used at several campus locations. Residents have until the 12 th day of class to change their meal plan at the beginning of each semester. Residents must purchase a new meal plan each semester. Unused Meals and Declining Balance dollars do not carry over to the next semester. If unused, they are forfeited. A resident may add meals or declining balance dollars to his/her meal plan at any time. For those individuals who have serious food allergies, an exemption from the meal plan requirement is available upon proper documentation; however, you must select a meal plan before a request for exemption will be considered. Exemption forms are available at the Cashier s Window in the Wimberly Student Services Building. Housing Application, Page 4 of 5

5 SPECIAL ACCOMMODATIONS Do you have a disability or medical condition that should be considered before assigning you a room/suite in university housing? Yes No Accommodations for disabilities and chronic health conditions take time to arrange. For this reason, if accommodations are requested, please complete and submit the Request for Housing Disability Accommodation located online at lamar.edu/residence-life or by contacting the Department of Residence Life. Please be sure to attach any requested documentation within five days of your housing application submission or as soon as reasonably possible. You may also contact the Director of the Disability Resource Center about your specific needs (housing and/or academic). Conditions that may require accommodation include, but are not limited to: significant mobility disability, deaf or hard of hearing, blind or visually impaired, diabetes, mental health disorders, and/or significant temporary health condition, such as chemotherapy treatment or surgical recovery. Requests for housing accommodations should be made no later than June 15 th for the Fall semester; November 15 th for the Spring semester; and April 15 th for the Summer term. Health Insurance: Do you have health insurance? Yes Parent/Guardian Name PARENT OR GUARDIAN AND EMERGENCY CONTACT INFORMATION No First: Middle: Last: Work Phone: Relationship to student: Parent Parent/Guardian Address Legal Guardian Cell Phone: City: State: Zip Code: Country (if other than the United States): Parent /Guardian Address: Emergency Contact Information In case of an emergency, please contact: My parent(s) or legal guardian above My alternate contact Either contact is acceptable Alternate Emergency Contact (If different from your parent or legal guardian.) First, Middle, Last Name: Work Phone: Cell Phone: Relationship: Address: Country (if other than the United States): In the case of an emergency, I authorize to take possession of my personal property. Housing Application, Page 5 of 5

Important Housing and Enrollment Information Please read!

Important Housing and Enrollment Information Please read! Fulton-Montgomery Community College offers housing for students who do not live within a commutable distance (greater than 50 miles from campus).