CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml ). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age Date
Appears in 5 contracts
Samples: Housing Application and Contract, Office of Housing And, Housing Application and Contract
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, the COVID-19 Student Commitment Form, OHRL rules and regulations, and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT- 01.shtml ). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age Date
Appears in 3 contracts
Samples: Housing Application and Contract, Housing Application and Contract, southbend.iu.edu
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, Conduct and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml). Student Signature Date _ Co-Signature of Parent or Legal Guardian if student in under 18 years of age DateDate This application and contract form must be signed and accompanied by a check or money order of $200 ($1000 Ivy Tech) payable to IU South Bend. Do not send cash. Send the signed Contract with a check or money order to:
Appears in 3 contracts
Samples: Office of Housing, Housing Application and Contract, Office of Housing
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, Conduct and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age DateDate This application and contract form must be signed and accompanied by a check or money order of $200 ($1000 Ivy Tech) payable to IU South Bend. Do not send cash. Send the signed Contract with a check or money order to:
Appears in 2 contracts
Samples: Contract Spring 2020, Housing Application and Contract
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 100 ($1000 500 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 100 ($1000 500 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 250 summer contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, Conduct and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml). Student Signature Date _ Co-Signature of Parent or Legal Guardian if student in under 18 years of age DateDate This application and contract form must be signed and accompanied by a check or money order of $100 ($500 Ivy Tech) payable to IU South Bend. Do not send cash. Send the signed Contract with a check or money order to:
Appears in 2 contracts
Samples: Housing and Residence Life Application and Contract Summer 2020, Housing and Residence
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 500 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 500 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 250 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, Conduct and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml). Student Signature Date _ Co-Signature of Parent or Legal Guardian if student in under 18 years of age DateDate This application and contract form must be signed and accompanied by a check or money order of $200 ($500 Ivy Tech) payable to IU South Bend. Do not send cash. Send the signed Contract with a check or money order to:
Appears in 2 contracts
Samples: Housing and Residence, Housing and Residence
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) 50 prepayment, is a request to reside in on- on-campus housing at IUSBIUSB during the Leadership Academy program. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) 50 prepayment is non-refundable and failure to be admitted to IUSB Leadership Academy does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, Conduct and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml). Student Signature Date _ Co-Signature of Parent or Legal Guardian if student in under 18 years of age DateDate This application and contract form must be signed and accompanied by a check or money order of $50 Prepayment payable to IU South Bend. Do not send cash. Send the signed Contract with a check or money order to:
Appears in 1 contract
Samples: Housing Application and Contract
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 100 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 100 ($1000 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml ). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age Date
Appears in 1 contract
Samples: Office of Housing And
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 ($1000 Ivy Tech) prepayment, is a request to reside in on- campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made bemade until the prepayment and this signed Contract have been received. I understand and agree that the $200 ($1000 Ivy Tech) prepayment 200prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, the COVID-19 Student Commitment Form, OHRL rules and regulations, and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT- 01.shtml ). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age Date
Appears in 1 contract
Samples: Housing Application and Contract
CONTRACT AGREEMENT. I attest that the information contained herein is correct and I authorize IUSB to verify this information. I understand and agree that submission of this academic year Summer 2022 Contract, signed by me and, if I am under 18, also by my parent or guardian, along with a $200 100 ($1000 500 Ivy Tech) prepayment, is a request to reside in on- on-campus housing at IUSB. I understand that the prepayment is a space reservation and a placement will not be made until the prepayment and this signed Contract have been received. I understand and agree that the $200 100 ($1000 500 Ivy Tech) prepayment is non-refundable and failure to be admitted to IUSB does not refund the prepayment, nor relieve me of the $500 contract breakage clause if the terms of the Contract activate that clause. I understand and agree that my signature on this Contract represents my acceptance of all of the terms and conditions in this Contract, including the IU Code of Student Rights, Responsibilities and Conduct, OHRL rules and regulations, and the IU Appropriate Use of Information Technology Resources policy (xxxx://xxxxxxxx.xx.xxx/policies/categories/information-it/it/IT-01.shtml ). Student Signature Date Co-Signature of Parent or Legal Guardian if student in under 18 years of age Date
Appears in 1 contract
Samples: Office of Housing And