For Office Use Only
Received: ________________
______Adm _____ Fin Aid
_____ Bus Off _____ Res Life
Room # _________________
Residence Hall
Room and Board Contract 2016-2017
Timely completion of the following information will assist in the room assignment process. Please use a ballpoint pen
and PRINT clearly. If you have questions about the form, please call the Director of Residence Life at 414-382-6372.
Please return this form to: Admissions, Alverno College, 3400 S. 43rd St., P.O. Box 343922, Milwaukee, WI 53234-3922.
Please include $100.00 deposit to begin contract processing. You can also complete this form online by going to
www.alverno.edu , Apply, Housing Application.
s
Name______________________________________ Student ID#____________________ Date____________________
Permanent Address___________________________________________________________________________________
City_________________________ State_____________
Birth Date______________
Age________
Classification next semester: Freshman___
Zip__________ e-mail ______________________________
Home Phone ______________
Sophomore___
Junior___
Cell Phone _______________________
Senior___
Other___
All residents must be fulltime students.
Are you: (check all that apply)
Returning Alverno Student_____
Weekday College_____
Transfer_____
Degree Seeking International Student _____
New Alverno Student____
Masters _____
International/Exchange Student _____
FRESHMEN RESIDENTS ARE REQUIRED TO CHOOSE A DOUBLE ROOM, AND MEAL PLAN #1.
Housing Preferences
Austin Hall is available to all students; Clare Hall is available to Sophomores and above, and/or students over 21 years old:
Please circle and rank your preferences 1-3, with 1 being your first choice.
Meal Plans
MEAL PLAN #1
MEAL PLAN #2
MEAL PLAN #3
Austin Hall
Double
$3,942
$3,720
$3,485
Austin Hall
Small Single
$4,540
$4,318
$4,083
Austin Hall
Large Single
$4,920
$4,698
$4,463
Austin Hall
Suite
$5,406
$5,184
$4,949
Clare Hall
Large Single
$5,023
$4,801
$4,566
Clare Hall
Suite
$5,720
$5,498
$5,263
Rates are per semester and are subject to change prior to the academic year.
Additional fees that will be added to your bill: $50/semester Resident Activity Fee.
Have you lived in Alverno College housing before? Yes _____ No _____ When? ___________________________
Will you have a car on campus?
Yes_____
No_____
Will you use financial aid to pay for room/board charges? Yes_____
No___ (If yes, please complete your financial
aid file). Payment arrangements MUST be approved by the Business Office before you will be housed.
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Personal Data Summary (REQUIRED)
This information is used to match you with a roommate.
Please provide us with as much information as possible. Even if you have requested a single room, please complete, as it
helps us select your room assignment.
1. I am a:
smoker____
non-smoker____
occasional smoker____
2. I prefer my roommate to be a: smoker____
non-smoker____
doesn't matter_____
(smoking is not permitted on campus)
3. I like to keep my room:
neat____
cluttered_____
not concerned with neatness_____
4. I consider myself a:
morning person____ night person____
5. I prefer to go to bed at:
10 - 11 p.m.____
11- l a.m.____
after 1 a.m._____
6. I plan to study:
in my room____
in the library____
in the lounge_____
7. When I study, I prefer:
absolute quiet____
low background noise_____ ok with distractions____
8. I will go home:
most weekends____
occasionally_____
9. Vegetarian? _____
Vegan? _____
Other: ______________________________________
seldom____
(If you have special dietary needs, please contact Dining Services upon arrival to discuss them.)
10. I would be interested in an international roommate:
yes____
(Residence Life reserves the right to assign roommates based on availability)
My major is: ______________________________________________________________________________
I am/will be an Alverno athlete: _____
Please list sport(s):__________________________________________
I am interested in: (please list all that apply)
Living on a floor with other students interested in doing Community Service (please circle one): Yes
Living on a floor with other students interested in a Wellness focus (please circle one):
If living in Clare I prefer (please circle one): Quieter Environment
No Preference
Yes No Preference
More Social Environment
No Preference
Intramural sports: _________________________________________________________________________
Listening to music - favorite music: ___________________________________________________________
Participating in music, drama, theatre: _________________________________________________________
Campus activities - please specify:_____________________________________________________________
Student Groups:____________________________________________________________________________
Religious Activities: ________________________________________________________________________
Other: ___________________________________________________________________________________
What else should we know about you that might be helpful in matching you with a roommate?
_______________________________________________________________________________________________
________________________________________________________________________________________________
If you have a roommate preference, print her name below. (Requests will only be honored if mutually requested):
Preferred Roommate's Name____________________________________________________________________
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College Housing and Dining Services Contract
Terms of Agreement and Conditions of Occupancy
This agreement is made by Alverno College and the student. A $100 Housing Security Deposit is required when submitting this
contract. Submitting the contract commits the student to an academic year agreement and respective fees. Exceptions may be given if
the student is released from the contract by housing administration personnel. If Alverno is unable to provide housing by the official
enrollment date, the student can choose to remain on the waitlist or a refund will be given. The student and the College agree with each
other as follows:
1.
Housing Deposit: The Housing Security Deposit is retained on file with the College until such time that the student moves off
campus. Thus, 30 days after the contract period, if the student does not submit a new housing contract, a return of the deposit is
processed, less any charges owed to the college. (See page 4 for the housing deposit refund schedule.)
2.
Student Status: Students must be regularly attending classes full time in order to live on campus. This means they must be
registered for and regularly attending 12 or more credits as an undergraduate student (6 or more credits as a graduate student) at all
times during the semester. In addition, students must be making satisfactory academic progress toward their degree. If a resident is
not meeting the above requirements, she must notify a residence life staff member immediately and must apply for an exception.
3.
Contract Period: This agreement is binding for the entire academic year. If the student appeals to be released from the contract,
charges will be determined by the Alverno College Room and Board Charges schedule. (See page 4 for this schedule.) Additional
charges may also apply for second semester releases.
4.
Use of Room: This contract is between the College and the student only. No other individuals will be allowed to reside in the
campus housing room/space.
5.
Residence Hall Closings, Holidays and Break Periods: Residence halls close during college breaks, including Thanksgiving,
Christmas, and Spring breaks. Each resident is responsible for finding alternate housing for herself over the breaks. In the event
that alternate housing is not available, residents may APPLY to stay in the halls during college breaks. Approval is not guaranteed
and residents are responsible for all charges incurred. No mail/package delivery is available during breaks.
6.
Handbooks: The College agrees to provide housing and board (food service) under the terms stated in this agreement and
described in the student and residence life handbooks, which are, by reference made a part of this contract.
7.
Registration: Student must be registered by December 1 to hold a spot for 2nd semester.
8.
Parking: Parking permits are required for all vehicles on campus overnight. Students are required to park in designated lots with
a valid, visible hang tag between the hours of 2:00 a.m. and 6:00 a.m.
9.
Room Assignments: Room assignments will be made on the basis of class standing and seniority in the hall, with Residence Life
hall staff having final approval. Preferences that the student requests are considered, but not guaranteed. Failure to honor such
requests will not void this agreement.
10. Reassignment and Consolidation: The College reserves the right to change room assignments for health, safety repair services,
economic, or disciplinary reasons involving the student or for irresolvable incompatibility of roommates. The College further
reserves the right to cancel this agreement, enter the premise and remove a student for any violation of the terms of this agreement
or in the interest of health, discipline, or the general welfare of campus housing, student or other students. In the event a student is
removed for these reasons, the student forfeits all room and board costs for the semester. The College reserves the right to
consolidate vacancies by requiring any student to move to a different but comparable space.
11. Non-discrimination policy: The College will not discriminate in room assignment on the basis of race, color, creed, religion,
sexual orientation, national origin, status with regard to public assistance, or disability.
12. Payment: Unless the student is paying in cash, a satisfactory payment plan must be set up with the Business Office before a
student will be allowed to move in. Failure to follow through on any portion of that payment plan at any time may result in loss of
housing privileges. This means students must keep payments current or risk loss of housing privileges.
13. Financial Aid: Your financial aid must be awarded by June 1 to maintain your housing. (A promissory note may be satisfactory –
this is at the Business Office’s discretion.)
14. Withdrawal from Alverno: Withdrawal from the College will require removal from campus housing within 48 hours of the
withdrawal date.
15. Smoking Policy: Alverno College, including residence halls, is SMOKE FREE.
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16. Early Arrivals & Late Departures: Early arrivals or late departures must be approved in advance and a fee may be charged. This
applies to move-in, move-out, and breaks.
17. First Year Student Requirement: Alverno College requires all Weekday College students entering the college within one year of
their high school graduation, who are single with no dependents, to live on campus for their first two semesters unless the student is
living with parents or a legal guardian. All first year students living on campus are required to be on Meal Plan 1 and live in a
Double room.
18. Room Entry and Inspection: College Officials, with permission from the Director of Residence Life or designee, have the right to
enter and inspect student rooms and property for the purpose of inspection and repair, inspection if suspicion of illegal activities
exists, preservation of health and safety, and recovery of college owned property.
19. Fire, Theft, or Other Damages: The College is not responsible for damage or theft of students’ personal property, or money,
including cars. The College encourages students to carry appropriate property insurance.
20. Room Responsibility: Each student is responsible for maintaining a clean and healthy environment within her room. Failure to do
so may result in a fine and loss of housing privileges.
21. Medical Condition: If you have a physical limitation or medical condition that warrants special consideration for housing, please
have a current letter from the treating physician and/or health care provider sent to the Office of Residence Life, accompanied by
appropriate documentation and detailed history specifying the nature of the medical condition or disability and the restrictions or
needs of the student in her living environment. The College will review the documentation, and at its discretion, consult with
appropriate College staff and other professionals external to the College who can assist in reviewing the request.
22. Soliciting/Sales: Soliciting, canvassing, or the use of College housing as a location for selling and advertising is prohibited.
Students may not operate any “for profit or personal gain” enterprise from College housing, including but not limited to, web based
and/or e-commerce businesses.
Alverno College Room and Board Charges for Contract Cancellation
For Housing Deposit
Before July 1
July 1 – August 1
August 1st / December 1st
to 1st day of semester
1-7 days
8-14 days
15-21 days
22-28 days
29+ days
For Housing
For Meals
$0
$0
$0
$0
Non-refundable
$0
$0
Non-refundable
Non-refundable
Non-refundable
Non-refundable
Non-refundable
$115
$230
$345
$460
Non-refundable
$170
$340
$510
$680
Non-refundable
$0 (less any charges owed
to the college)
$50 (less any charges owed
to the college
Dining Services
1.
2.
3.
4.
The meal plan is nontransferable. No one else is eligible to use your card. Students must present meal card at the time of purchase.
Alcoholic beverages cannot be purchased through the meal plan.
The meal plan may be used in the Commons and the Café.
During vacation breaks, the meal card is in effect, but there may be limited hours and meal choices.
Once accepted by the College, this contract may only be terminated if unanticipated circumstances arise. A student may request release
from this agreement by submitting a contract release appeal to the Residence Life office along with sufficient documentation evidencing
the basis upon which she seeks release. Such releases are subject to the approval of the Director of Residence Life, Dining Services
Committee or Dean of Students.
I certify that I have read and understand the terms and conditions stated on this contract and agree to the conditions stated herein.
Name (print)
Date ________________
Signature of Student
Date_________________
Signature of Guarantor if student is under 18
Date ________________
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