Exchange Representative Signature - Inside Scripps

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SCRIPPS COLLEGE  DEAN OF STUDENTS OFFICE
Eligibility
1. Participating students must have lived in residence at least one year at his/her home campus.
2. Exchanges must be between students and must be one-for-one exchanges. Women only, of course, are allowed to
exchange to Scripps.
3. Participating students must complete the “5-College Living Exchange Form” below with all the appropriate signatures.
4. All suitemates and/or roommates must agree on the acceptability of the individual who will be filling the space in their
room/suite.
5. Participating students must be in good academic and judicial standing.
6. Should there be any change to a student’s enrollment status with their home college, it is the responsibility of that student
to notify their exchange student and home campus as soon as possible.
Regulations on Length of Exchange
Participating students must agree to reside at the exchange college for the entire academic year. If a student is unable to live
on the host institution’s campus (by choice, for conduct reasons, etc.), both students are expected to move back to their home
institutions unless a replacement person can be found.
Finances
1. All billing is generated by the student’s home institution.
2. Each student pays the cost of her/his home institution’s room and board.
3. Each student is responsible for paying any damages/fees/fines assessed to her/him by the host institution.
Student Conduct
Participating students must sign the host institution’s housing agreement. They are expected to abide by both the policies
and procedures of the home and host institution. Any alleged violation of either institution’s policies or procedures will be
adjudicated by the student’s home institution. The home institution may consult with the host institution to determine
appropriate sanctions. The home institution remains responsible for overseeing completion of the sanctions. This could
impact your ability to re-apply for another year.
Student ID
Participating students must retain their home institution ID which they will use for entry into the host institution’s residence halls.
Parking The host institution reserves the right to define parking privileges and conditions.
Meal Plan Participating students must be on the home institution’s meal plan.
Procedure
1. A student wishing to live at another campus needs to sign up with the contact person of his/her home campus and indicate
preferences. The student may then go to the contact person(s) of their targeted exchange campus to indicate their interest in
an exchange. Contact persons are below.
2. Students may also write to listservs at their target campus. At Scripps and Pitzer, use student-talk@scrippscollege.edu or
student-talk@pitzer.edu. At Pomona, use the Digester, http://www.digester.pomona.edu/. At Harvey Mudd, use
roomdraw-l@hmc.edu.
3. The student is expected to take responsibility for contacting potential exchange student(s), arrange to see the room(s),
obtain any necessary approval from roommates/suitemates, complete the “5-College Living Exchange Form” and return the
form to his/her home campus by 5:00PM on Thursday, March 27, 2014.
Scripps and Pitzer Students
Scripps and Pitzer Students approved to participate in the 5C Living Exchange will be required to attend and participate in
Scripps and Pitzer’s Room Draw to secure a room for the student they are exchanging with. Exchanges are not approved for
the off-campus apartments.
Contacts
Claremont McKenna: Eric Vos – Heggblade, 909-607-7293 or eric.vos@cmc.edu
Harvey Mudd: Michael Edwards – Platt, 909-621-8794 or michael_edwards@hmc.edu
Pitzer: Tressi Chun – East Sandborn C226, 909-607-3132 or tressi_chun@pitzer.edu
Pomona: Frank Bedoya – Sumner 123, 909-607-2239 or frank.bedoya@pomona.edu
Scripps: Paromita Nag – Frankel 90, 909-607-6214 or pnag@scrippscollege.edu
5-College Living Exchange Application 2014-2015
Participating students must return completed forms to the Dean of Students Office, Balch 112
by Thursday, March 27 at 5:00pm. Incomplete or late applications will not be accepted.
STUDENT 1 (please print)
Last Name __________________________ First Name _________________________
Student ID Number _____________________________ Class Level ______________
Home Campus (Circle One) CMC HMC Pitzer Pomona Scripps
Cell Phone/Contact Phone Number (______) _________________________________
Email __________________________________________________________________
Exchange Assignment ____________________________________________________
STUDENT 2 (please print)
Last Name __________________________ First Name _________________________
Student ID Number _____________________________ Class Level ______________
Home Campus (Circle One) CMC HMC Pitzer Pomona Scripps
Cell Phone/Contact Phone Number (______) _________________________________
Email __________________________________________________________________
Exchange Assignment ____________________________________________________
SIGNATURES
I agree to exchange the right to live on my home campus for the full 2014-2015 academic year. I am familiar
with and agree to abide by the stipulations stated in the 5-College Living Exchange Agreement. I understand
that I am committing to an entire year by signing this agreement and may incur sanctions from my home
college if I do not fulfill this obligation.
Student 1 Signature ______________________________________
Date _________________________
Home Representative Signature ___________________
Date _________________________
Student 2 Signature ______________________________________
Date _________________________
Exchange Representative Signature _________________________
Date _________________________
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