Keene State College | Residential Life

RESIDENTIAL LIFE

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Employment

Off Campus Housing

New/Transfer Student
Residence Hall & Dining Application

NEED HELP?
– additional instructions
OTHER OPTIONS
applications for other students

Welcome to Keene State College's Residential program! As a new student seeking on-campus housing you are required to complete and submit the housing application provided below.

Over the course of the summer our housing staff will assign roommates based on date of deposit, individual requests, building preferences (on a space available basis) and other preferences indicated on your application. Sometime early to mid-July you will be notified of your housing assignment and given contact information for your roommate(s).

Complete this form ONLY if you are:

FIRST YEAR STUDENT
applying to live on campus for the first time
TRANSFER STUDENT
applying to live on campus

All fields marked with an * are required.

Student Information

Student ID Number
This number appears in your acceptance letter - DO NOT use your Social Security #

(Example: 0123456)

First Name

Middle Name

Last Name

Home Information

City

State/Province

E-mail Address
Your current e-mail address is required if you want to receive an e-mail confirmation
Example: astudent@ksc.mailcruiser.com

Residence Hall Contract Information

Student Status

Contract begins

Residence Hall Preferences

More information

1st

My first hall preference:

2nd

My second hall preference:

First Year Parliaments (OPTIONAL)

For incoming first year students only.
More information

PLEASE NOTE:
1) If you would like to live with a specific person, that person must also sign up for the same Parliament, otherwise you will not be able to be roommates.
2) Parliaments are all located in Holloway Hall.

1st

My First Year Parliaments first preference:

2nd

My First Year Parliaments second preference:

Roommate Preferences

NOTE: 67% of our first-year rooms are triples. If you do not choose two roommates, you may be assigned a third.

REMEMBER: If you are requesting a specific roommate and a Parliament, you both must request the same Parliament.

1st

Roommate – First preference (must be mutual)

First Name

Middle Name

Last Name

2nd

Roommate – Second preference (must be mutual)

First Name

Middle Name

Last Name

Personal Habits and Preferences

Smoking
Please identify yourself as a smoker or non-smoker
(Note: All residence facilities are non-smoking)
I am a smoker
I am a non-smoker

Check any that concern you.

Sleeping habits
I am an Early Riser
I am a Late Riser

Guests/Visitors
I prefer roommates who like frequent guests/visitors to our room
Frequent Guests/Visitors to Room
Few Guests/Visitors to Room

Personal Property
I prefer roommates who are comfortable sharing personal property
Comfortable Sharing Personal Property
Not Comfortable Sharing Personal Property

1st

Of my preferences listed above,
most important to me is:

2nd

Of my preferences listed above,
second-most important to me

Dining Contract Information

All resident students must enroll in at least a 12-meal plan (unless they reside in Bushnell, Tisdale or Pondside II apartments). The dining contract is for the entire academic year and may not be decreased or cancelled while the student resides on campus.
Dining information

Select a Meal Plan:
19 meals – Traditional
19 meals – Traditional + FLEX
12 meals – Traditional
12 meals – Traditional + FLEX
5 meals – Traditional
5 meals – Traditional + FLEX

Contract

Contract Terms:
By submitting this application:

I consent to the Terms and Conditions of the Residence Hall Contract.
I understand that this contract is for both semesters, excluding all announced vacation periods.
I agree to the announced rates and have read and accept the terms and conditions of the contract.
This contract is binding for the entire academic year.
On-campus residents will not be released from this contract unless they no longer attend Keene State College.

Terms and Conditions of the Residence Hall Contract.

Housing and Dining Contract Consent

I am 18 years old or older and I consent to the terms of the Residence Hall Contract.

This student is under 18 years old. As the parent or guardian identified below, I consent to the terms of the Residence Hall Contract.

Parent/Guardian First Name

Parent/Guardian Middle Name

Parent/Guardian Last Name

IMPORTANT

New incoming student applications for Keene State College housing will not be considered complete until the $225 Enrollment Services Fee and the $100 housing deposit have been received by the Admissions Office.


Updated: February 1, 2011
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