Keene State College | Residential Life

RESIDENTIAL LIFE

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New Student
Residence Hall & Dining Application

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 individual requests, building preferences, date of deposit, 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 ONLY if you are:

NEW to KSC and applying to live on campus for the first time
RETURNING from a leave of absence
RETURNING from Study Abroad or Exchange

Here are some questions to answer before you start:

What? What's this contract about?
Read the Terms and Conditions.

Where? Which residence halls do you like?
You'll be able to indicate your top three choices.
Consider a living learning community – for first year students, Parliaments

Residence Hall information

Who? Want to room with a friend?
Contact them to coordinate your preference.
You'll each need to specify the other's name in the form.

When? When will you know your housing assignment and roommate(s)?
In early to mid-July, you will receive your housing assignment and roommate(s) information.

Which? Which meal plan option do you want?
Dining information

Legal age? Not 18 or over?
You'll need a parent or guardian to agree to this contract.

If you have any questions, please contact our Housing Coordinator
at 603-358-2339
or: reslifeadmin@keene.edu

All fields marked with an * are required.

Student Information

Student ID Number
appears in your acceptance letter

(Example: 0023456)

First Name

Middle Name

Last Name

Home Information

City

State/Province

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

Residence Hall Contract Information

New/Returning Student

Contract begins

Residence Hall Preferences

Incoming first year (FY) students may only specify halls designated with an "FY". More information

1st

My first hall preference:

2nd

My second hall preference:

3rd

My third hall preference:

First Year Parliaments (OPTIONAL) More information

For incoming first year (FY) students only.

PLEASE NOTE: 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.

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. Unless you request two roommates, you will 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
Check any that concern you

Smoking
(Note: All residence facilities are non-smoking)
I am a smoker
I am a non-smoker

I prefer roommates who are
Smokers
Non-smokers
Don't care

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

I prefer roommates who are
Early Risers
Late Risers
Don't care

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 section, I consent to the terms 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 except for off-campus students who have the opportunity to cancel their meal plan contract within the first 30 days of the semester, by completing the Meal Plan Enrollment/Change Request, an online form. On-campus residents will not be released from this contract unless they no longer attend Keene State College.

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: November 18, 2009	Feedback \| Email This Page \| Printer-friendly format
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