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* Parking and vehicle registration is free
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Make of Vehicle
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Model of Vehicle (and Make if 'Other' is selected above)
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Vehicle Year
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Color of Vehicle
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License Plate Number
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License Plate State
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Contract Date Academic Year
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Term initially moving on campus
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* Full academic contract length is automatic for first year
students under 21. Single semester contracts are only for final semester seniors,
eco-league exchange, and students arriving in the spring semester.
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Contract Length
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* North Atwood is primarily for first time freshman, 18-20
years of age. Meal plans are included automatically for all housing assignments
and are included in the cost. North Atwood residents are assigned the Gold Meal
Plan and Segelhorst Hall and University Village are assigned the Silver Meal Plan.
All meal plan questions should be directed to Campus Life.
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Building Preference
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Room Preference
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If your first preference is not available, is there any assingment you would not
accept? Please explain. *
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Roommate & Suitemate pairing questions
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For the following questions choose what best describes you.
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Bed Time:
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Sleeping:
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Waking Up:
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Neatness:
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Noise Level:
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* APU is a smoke and tobacco free campus.
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Smoking:
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Roommate Smoking:
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What adjectives best describe you:
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* In the space below, please provide any additional information about yourself that
may help us match you with a great roommate – this could include: sports you play;
music you listen to; TV shows or films you enjoy; games you like to play; books
you have read; reasons for coming to APU and/or Alaska; or what you enjoy in your
spare time. required
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Emergency and Medical Contact Information
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Please provide the best contact information for you, in case of an emergency. Include
your most up to date insurance information. If you do not have insurance, please
put N/A or TDB in the following fields.
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Please Note: All students living on campus are required to have Health Insurance.
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Do you have any illnesses or disabilites which require special housing, meal plan,
or considerations? *
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If "yes", please explain:
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Important Information Campus Life Staff Should be Aware of:
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Important Allergy Information Campus Life and Dining Hall Staff Should be Aware
of:
* All food allergies will be shared with the dining hall staff.
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Please select any of the following that apply to you:
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Health Information
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We strongly encourage you to visit your family doctor before arriving at APU to
ensure your immunizations are up-to-date. You are required to have the MMR and Tetanus
Immunizations to live on campus. We do not require official medical records verifying
your vaccination history, but do ask that you provide us with the dates you received
the immunizations below (in mm/dd/yyyy).
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The MMR vaccine requires two doses on or after the first birthday with a minimum
of 30 days between doses. If month and year of the first dose is not available,
documentation of the second dose on or after December 1989 must be provided.
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The Tetanus-diphtheria needs to have been received within the past 10 years. Dates
of the Immunization accompanied by student's signature will be accepted as evidence.
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Exemptions are listed below.
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Other Immunizations
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While not required, the following immunizations are highly recommended by Alaska
Pacific University and the American College Health Association. In the space provided,
please indicate which of the following vaccinations you have received by entering
the dates you received them (in a mm/dd/yyyy format).
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I meet the following exemption and thus do not need the Measles immunization:
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Contract and Deposit
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Your contract and deposit reserve a place for you in the residence halls contingent
upon your acceptance to the University by the Admissions Office. Only fully admitted,
full-time students will be allowed space in our residential facilities. For all
admitted students with housing contracts and deposits, the Office of Campus Life
will work to assign rooms based on preferences specified in the contract. Please
be aware that while we are always trying to give everyone their first choice of
building and room, we may be required to assign you to a room that is not your first
choice based on availability. In addition, we will do our best to match you with
appropriate roommate and suitemates that most accurately match your profile.
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A $400.00 Housing Deposit is due before you move in. Full deposit payment is due
by August 1 for fall move in, or December 15 for spring move in. You can pay that
over the phone at (907) 564-8352 or online at https://www.alaskapacific.edu/payonline/.
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Contracts must be cancelled by June 1 for fall move in, and November 1 for spring
move in. *
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Any student needing housing during the winter or summer breaks must apply and pay
additional charges to stay in the campus residence halls during those periods. A
separate housing contract will be available for those breaks.
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Terms and Conditions
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By checking the box below I acknowledge and agree that I have read the terms and
conditions of the Contract and Campus Life Handbook and agree to abide by
them, as well as the rules and regulations of Alaska Pacific University and the
Campus Life Program.
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I understand that cancellations must be made in writing and that I am liable for
appropriate cancellation fees if this contract is cancelled.
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I agree to pay APU for housing and food service charges for the length of the contract.
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Alaska Pacific University offers its living accommodations to APU students without
regard to race, color, religion, or national origin. All spaces are given on an
available basis.
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I understand that I am responsible for my living space and agree to pay for any
damage that happens while I am living there. Costs may be split between roommates
if a sole responsible party cannot be determined. Fees will be billed to my student
account.
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I also acknowledge that I will be responsible for all physical keys and key cards
I receive. I am financially responsible for any keys or key cards that I lose and
will have my student account billed appropriately.
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I understand that I must have a housing deposit on file before I can move into campus
housing. The University will hold my deposit until I move out of housing for the
final time, at which point the deposit will be refunded back to my student account.
If I have outstanding fees on my student account, the housing deposit may be used
as a credit towards my fees when it is refunded to my account. If there are zero
fees on my account, a check will be cut and mailed to the last address I have on
file with The University.
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By checking the box below, I understand that my bill is due in full to The University
by the first day of classes. If I need to, I can arrange a payment plan through
Student Accounts by emailing
studentaccounts@alaskapacific.edu or calling (907) 564-8352. I understand
that Campus Life is not able to accept payments for any parts of my bill. *
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Contract Overview
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Prices listed here are for one semester, which includes one block and
one session. There are two semesters in one academic year. If you need a housing
or meal plan for block only (Eco-League Students), please contact the Office of
Campus Life at Housing@alaskapacific.edu. Meal plans are required for all students
living on campus and are already included int he housing costs.
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Students living in Segelhorst of University Village may upgrade their meal plan
from the Silver to Gold plan. However, Students living in North and South Atwood
cannot change their meal plans from the Gold to Silver plan.
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Cancellation Policy Reminder:
The contract may be terminated upon written notice given to the Office of Campus
Life by the student, or to the student by the Office of Campus Life.
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All cancellations must be in writing.
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Failure to follow appropriate cancellation or move out procedures may obligate the
student to room and board charges and/or Improper Cancellation/Check-Out Fees.
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A first time contracted housing student who has not moved into the residence halls
has until June 1 to cancel their contract without penalty. A contract cancelled
after June 1 will incur a $400.00 fee (the housing deposit). This fee does not apply
if the student is not admitted to APU.
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The cancellation fee for any returning student, regardless of cancellation date,
is $500.00.
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Meal Plan Overview
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Gold Plan (North and South Atwood)
19 Meals a week at the dining hall, plus a declining balance of $50.00 that can
be used at the dining hall, coffee cart, and Farmer's Market (when open).
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Silver Plan (Segelhorst and University Village)
A declining balance of $500.00 that can be used at the dining hall, coffee cart,
and Farmer's market (when open).
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Dining Hall Hours:
Breakfast - M-F: 7:30-8:30 AM
Lunch - M-F: 11:30 AM-1:30 PM
Dinner - M-F: 5:15-6:30 PM
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Brunch: Sat/Sun: 10:30 AM-Noon
Dinner - Sat/Sun: 5:00-6:00 PM
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