OFFICE OF REISDENCE LIFE
CONTRACT ACCEPTANCE FORM
2013-2014
PLEASE PRINT
Name: _______________________________________________________ Student ID # ___________________________________
Gender: ______________________________ Date of Birth: _____/_____/______
Home Address: ___________________________________________________________________________________
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Home Phone #: ________________________________ Alternate Phone #: _________________________________
Building & Room Assignment: _______________________________________________________________________
Room Type: Double Single
By completing and submitting this form, you are consenting to be legally bound to your housing contract for one (1) full academic year. By signing this contract, you are consenting to the terms and conditions of the 2013-2014 Residence Hall
Contract, Policies and Procedures if you are granted on-campus accommodations. Completing this form does not guarantee you a space on campus. ALL STUDENTS ARE REQUIRED TO READ HOUSING CONTRACT IN THE
STUDENT HANDBOOK. For all students under the age of 18, parents are required to read the Residence Hall Contract and sign the Contract Acceptance Form.
My signature below certifies that I have read the Residence Hall Contract located in the Lincoln University Student
Handbook. I understand that I am responsible for adhering to the guidelines in the contract. I further agree to abide by University and Residence Life policies, regulations and financial obligations related to residing on the campus of
The Lincoln University.
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Student Signature
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Resident Hall Coordinator Signature
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Parent’s Signature
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Date