Residence Hall Contract

This Residence Hall Contract is an agreement entered into by the student and Saint Joseph’s College. The contract is binding for the full academic year. The academic year begins on the opening day of the Fall semester and concludes 24 hours after the students final exam in the Spring semester. This contract excludes College break and vacation periods.

Your Info

First Name: *

MI:

Last Name: *

Home Street Address: *

City: *

State: *

Zip Code: *

Cell Phone: *

Email Address: *

Scan ID:

You'll find this number on your college ID card and on web services. First-time students will be assigned a number later.

Gender: *

Male

Female

Date of Birth: *

MM|DD|YY

Academic Major:

Projected Graduation Date:

MM|YY

Emergency Contact Info

Emergency Contact Name: *

Relationship To You: *

Emergency Contact Home Phone Number: *

Please include the area code!

Emergency Contact Work Phone Number: *

Please include the area code!

Mother's Name: *

Mother's Address: *

Please include street, city, state and zip code.

Mother's Home Phone: *

Mother's Cell Phone: *

Father's Name: *

Father's Address: *

Please include street, city, state and zip code. If same as above, type in same.

Father's Home Phone: *

Father's Cell Phone: *

Yes

I do hereby acknowledge that I have read the “Housing Contract Conditions.” Furthermore, I do hereby agree to be legally bound by the “Housing Contract Conditions” and the Saint Joseph’s College Student Handbook.

Student Signature: *

Yes

For any student under 18 years of age: The undersigned parent/guardian of the named student does hereby guarantee that the student will fully abide by the “Housing Contract Conditions” and hereby indemnifies Saint Joseph's College against any loss arising from the student's failure to perform or abide by such agreement.

Parent/Guardian Signature:

Date: *

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Residence Hall Contract

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