ࡱ> VXU#` \Dbjbj5G5G 4HW-W-L@T + Bt<A*C*C*C*C*C*C*$*,h.g*]g**nnn"A*nA*nni&|' pY &(*0 +&&/&/$'&/'PZ@n4lPPPg*g*d PPP + D  Dartmouth College Office of Residential Life Contract Rider for Affinity Programs This contract rider applies to the following living units: Asian Studies Center (36 N. Main St.), Shabazz Center for Intellectual Inquiry (32 N. Main St.), Foley House (20 West St.), French & Italian Suites (McCulloch Hall), Hillel Apartments (Maxwell), International House (Brewster Hall), Kade German Center (Maxwell), La Casa (42 N. College St.), LALACS (38 N. Main St.), the Native American House (35 N. Main St.) and the Russian Program (Topliff Hall). I am requesting to reside in the following special interest/academic affinity program living unit: FORMTEXT      I am interested in residing in the program living unit for the following terms: FORMCHECKBOX  Summer  07  FORMCHECKBOX  Fall  07  FORMCHECKBOX  Winter  08  FORMCHECKBOX  Spring  08  Last Name: FORMTEXT      First Name: FORMTEXT      M.I.: FORMTEXT      Dartmouth ID: FORMTEXT      Class: FORMTEXT      Gender: FORMTEXT       D-Plan for 2006-07:Summer 07 FORMTEXT    Fall 07 FORMTEXT    Winter 08 FORMTEXT    Spring 08 FORMTEXT     By my signature below, I agree to occupy the space assigned to me for the terms designated above. I understand that my assignment to the living unit is contingent upon: Space being available for the requested term(s). My application to reside in the living unit being accepted by both the program sponsor and the Office of Residential Life for the designated term(s). (Assignment to a living unit for one term does not guarantee an assignment in the unit for future terms.) I further understand that my continued residence in the special interest or academic affinity program living unit will be contingent upon my adherence to both the program policies and conditions set forth by the special interest or academic affinity program and the policies and procedures of the Office of Residential Life. The general conditions for residency in a special interest or academic affinity living unit are outlined below. To be eligible for special interest or academic affinity program housing, an applicant must be academically enrolled for the designated term or must receive special permission to reside in the living unit from both the program sponsor and the Office of Residential Life. Both the Office of Residential Life and sponsoring program reserves the right to terminate this contract rider upon written notification. In the event of a contract termination, rent may be prorated. The applicant agrees, during residency in the affinity program living unit, to abide by any and all conditions set forth by the sponsoring program and the Office of Residential Life. The applicant agrees to notify in writing both the sponsoring program and the Office of Residential Life of any changes in academic plans and subsequent inability to reside in the living unit. This will allow the program sponsor to find a replacement. All cancellations must be received by the housing cancellation deadline for the specified term. Any applicant who cancels an on-campus room assignment after this date is subject to the $500 contract cancellation fee. The applicant may only sign one contract rider for an affinity,-.ST- . 3 g v w  8 < >    ɺti^VA)jhMh=P>*B*CJUaJphh3m>CJaJhr|h3m>CJaJhhJCJaJh-XCJOJQJaJh-uCJOJQJaJh thJCJOJQJaJh\"h\"5CJOJQJaJh\"h\"CJOJQJaJh\"hJCJOJQJaJ hJ5CJh hJCJaJh h CJaJ hJaJh hJaJh hJCJaJ-.ST< >   . $Ifgd3m> $If]gd3m>gdJ]gdJgdJgdJgdJ \D   * , .   . 0 2 B D §–zr`zrXrL:LX#jhq-(hq-(CJUaJjh3m>CJUaJhMCJaJ#j6h h CJUaJh5CJaJjh5CJUaJhEjCJaJh3m>CJaJ hMh3m>>*B*CJaJph4jhMhq-(>*B*CJUaJmHnHphu)jhMh=P>*B*CJUaJph/jhMh=P>*B*CJUaJph hMh=P>*B*CJaJph. 0 yy $If]gdJ $Ifgd3m>okdv$$IflF(| t4)6    2H2 s44 laD J L h j l   " $ 8 pZRhn4CJaJ+jhq-(B*CJUaJmHnHphu,jh6Vhn4B*CJUaJphh6Vhn4B*CJaJph&jh6Vhn4B*CJUaJphhLhn4CJaJh=Ph3m>CJ aJ #jzhq-(hq-(CJUaJhMCJaJ#jhq-(hq-(CJUaJjh3m>CJUaJh3m>CJaJ " J V ~ yp`THT $$Ifa$gd=P $$Ifa$gd=P$$If^a$gd=P $Ifgd=P $If]gd=P]gdJokd$$IflF(| t4)6    2H2 s44 la8 : < F H J V X l n p z | ~  տհհտհհoտհհXտհ,jh6Vhn4B*CJUaJph,jh6Vhn4B*CJUaJphhn4CJaJ,jh6Vhn4B*CJUaJphhLhn4CJaJh6Vhn4B*CJaJph+jhq-(B*CJUaJmHnHphu&jh6Vhn4B*CJUaJph,jh6Vhn4B*CJUaJph"~ _VVF: $$Ifa$gd=P$$If^a$gd=P $Ifgd=Pkd$$Iflֈk  $;(  8l t()44 la 246^GB5 H$If]Hgd=PgdJkdu$$Iflֈ!P%(   8l t()44 la $$Ifa$gd=P $$Ifa$gd=P  "$.0246L\^lprtů𤙎{s{bV?b,jh6Vh B*CJUaJphh B*CJaJph jh B*CJUaJphhMCJaJh6Vh CJaJh CJaJhd3!h CJaJh=Ph`CJ aJ hLhn4CJaJ+jhq-(B*CJUaJmHnHphu&jh6Vhn4B*CJUaJph,jh6Vhn4B*CJUaJphh6Vhn4B*CJaJph^r: ,$If],gd=P ~$If]~gd=P $Ifgd=P $If]gd=P,.06ɾتɾت|ɾhQh,j h6Vh B*CJUaJph&jh6Vh B*CJUaJph,j| h6Vh B*CJUaJph,j h6Vh B*CJUaJphh B*CJaJphhMCJaJh6Vh CJaJh6Vh B*CJaJph jh B*CJUaJph+jh B*CJUaJmHnHphu68<>GINT]xz yz|>?TdwxǿǿǷǯǷǧǗǷǏLJLJLJ{sskhMCJaJh" >CJaJh\"hJ>*CJaJhJCJaJh CJaJhCJaJh^CJaJhcCCJaJh[CJaJhMCJaJhCJaJh\"hJCJaJh\"h1$CJaJh6Vh B*CJaJph&jh6Vh B*CJUaJph*:<>&!gdJkdh $$Ifl  %W{4>l. t $$$$44 la>Hyz0?P=R=h==== $$Ifa$gd=P $$Ifa$gd=P $Ifgd=P$ hd]a$gdJ & F hdd]gdE  dd]gdE  & F hdd]gdE d]gdJ<f<<<N=P=R=f=h=j=~==============Ƚr\ȽE\,jI hfh=PB*CJUaJph+jhq-(B*CJUaJmHnHphu jh=PB*CJUaJph,j hfh=PB*CJUaJphhfh=PB*CJaJph&jhfh=PB*CJUaJphhLh=PCJaJh=PCJaJh=PhJCJ aJ h{CJaJhCJaJUh\"hJCJaJhJCJaJ program and once approved to live in said program for a given term is not eligible to obtain a room through any other housing process (e.g. Room Draw) for that term. Signature: FORMTEXT      Date: FORMTEXT      Program Sponsor Signature: ======>DDDD D"D$D0D2DFDHDJDTDVDXDZD\Dokh t,jh=Ph=PB*CJUaJph+jhq-(B*CJUaJmHnHphu,j h=Ph=PB*CJUaJphUh=PB*CJaJph jh=PB*CJUaJphh=PCJaJh\"h=PCJaJhLh=PCJaJhfh=PB*CJaJph===$D0DXDvmaU $$Ifa$gd=P $$Ifa$gd=P $Ifgd=P $If]gd=P{kd $$Ifl\ P<&D xp t644 laFORMTEXT      Date: FORMTEXT       XDZD\D~gd=P{kd$$Ifl\ P<&D xp t644 la21h:pM/ =!8"8#$% vDText16$$If!vh5w55#vw#v#v:Vl t04)6,5|552H2 shDtDeCheck1hDehDe$$If!vh5w55#vw#v#v:Vl t04)6,5|552H2 stDText1tDText3tDText5$$If!vh55 55 585l#v#v #v#v #v8#vl:Vl t0(),55 55 585l/ / / tDText2tDText4tDText6$$If!vh5 5 55 585l#v #v #v#v #v8#vl:Vl t0(),5 5 55 585l/ / / vDText11vDText12vDText13vDText14i$$If!v h545>555l55.55 #v4#v>#v#v#vl#v#v.#v#v :Vl t0 , 545>555l55.55 / / / /  vDText16vDText18$$If!vh5D 5x55p#vD #vx#v#vp:Vl t06,5D 5x55p/ / vDText19vDText20$$If!vh5D 5x55p#vD #vx#v#vp:Vl t06,5D 5x55p/ / @@@ NormalCJ_HaJmH sH tH J@J J Heading 1$$@&]a$5aJDAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No ListHH E5 Balloon TextCJOJQJ^JaJFB@F J Body Text ]CJOJQJaJD>@D JTitle$@&]a$ 5CJaJFJ@"F JSubtitle$@&]a$5aJ<P@2< J Body Text 2 dxj@Cj 3m> Table Grid7:V0H-.STdefq/9KSeoHyz0?  | } 00000.0.0.0. 0. 0. 0. 0. 0. 0. 0. 0.0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0.0. 0. @0. 0. @0. 0. @0. 0. @0. 0. 0.0. 0. 0.0. 0. 0. 0. 0. 0.00 0 0 0 @0 0 0 0 0 0 0 j00@0 j00rj00j00j00.B32!"j00$j00j0 0 xIj0 0 h0 0j00 j00j00 j00Ib3  00 D 8 6=\D . ~ ^:>=XD\D  #\D%5DTq}9EIS_co{ FG$G$G$G$FFFFFFFFFFFFFFText16Text1Text3Text5Text2Text4Text6Text11Text12Text13Text14Text18Text19Text20r:Tp  Jd ,<)<  9*urn:schemas-microsoft-com:office:smarttagsState=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace w{,-AA!"45@AST_`q789JQRSdmnow x 2X$X#dr~J.BnP=` Ll)eBnh 88^8`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h xx^x`hH.h HLH^H`LhH.h ^`hH.h ^`hH.h L^`LhH.h hh^h`hH.h 88^8`hH.h L^`LhH.h   ^ `hH.h   ^ `hH.h xLx^x`LhH.h HH^H`hH.h ^`hH.h L^`LhH.h 88^8`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h xx^x`hH.h HLH^H`LhH.h ^`hH.h ^`hH.h L^`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h 88^8`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h xx^x`hH.h HLH^H`LhH.h ^`hH.h ^`hH.h L^`LhH.P=#e L~J.2                                             :9-u-qV E }5r|\"z"1${(q-( O-E5I6C =" >3m>?Mu'Y1Y` tEj"x}8*MqcCd=PJ^ c{D821VW$s@iFe[n4mP-X]defq/9KSeo} @ ?X P@P P PP @P<PDUnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma3z Times"qhxӲ&u  !8r4d  2qHX)?qV 2Dartmouth CollegeDeborah_CarneyStandards Machine User$      Oh+'0  ,8 X d p |Dartmouth CollegeDeborah_Carney Normal.dotStandards Machine User3Microsoft Office Word@@vmh@`B|W@.Y ՜.+,0 hp  Dartmouth College  Dartmouth College Title  !"#$&'()*+,./0123456789:;<=>?@ABCDFGHIJKLNOPQRSTWRoot Entry F@YYData %1Table-J/WordDocument4HSummaryInformation(EDocumentSummaryInformation8MCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q