New Housing and Meal Plan Application and Contract

Housing Deposit: $100.00. Please contact your Admissions Counselor or contact the Admissions Office at 641-673-1012 to arrange your payment.
If you are a full-time student and meet one of the following criteria, you may live off-campus:

Live with spouse and/or children;
Commute from the home of parents or legal guardian;
Served as military veteran;
Reach twenty-one years of age as of first day of official classes of a particular term;
Have completed at least 58 semester hours of credit or AA Degree.

If you choose to move off campus after Census Day, you will be charged for housing and food for the entire semester.

I. Personal Information

Session*

Year*

Name*

First Middle Last

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone*

Cell Phone

Date of Birth

Email*

Gender*

Female
Male

Entering Class

Are you involved in an extracurricular activity/sport?

Additional extracurricular activity/sport?

If you plan to have a vehicle on campus please fill out the Vehicle Registration Form.

Parent/guardian 1 Name

Prefix First Last

Parent/Guardian 1 Email

Add another Parent/Guardian

Add

Parent/guardian 2 Name

Prefix First Last

Parent/Guardian 2 Email

Please identify a contact person or persons that we can notify in the event that you would be considered a missing person.

MP Contact Name 1

MP Contact Phone 1

MP Contact Name 2

MP Contact Phone 2

II. Housing Plans

Please indicate your housing and meal plan choices for the session year indicated above no later than April 30 at 12:00 p.m. Students who fail to meet this deadline will no longer be eligible for first choice in housing arrangements.

Market Hall and Twin Towers have extremely limited availability for students in their first year at William Penn University

Roommate

Name of the person you request to be your roommate

My first choice for housing is:

My second choice for housing is:

My third choice for housing is:

Preferred roommate is more important than hall preference

Yes
No

I am a smoker

Yes
No

I would prefer to live with a non smoker*

Yes
No

* As of July 1, 2008, Iowa law prohibits smoking in all buildings and in vehicles throughout campus grounds.

I would enjoy living with an international student

Yes
No

I am a light sleeper

Yes
No

I have music or TV on while studying

Yes
No

I prefer to stay up late

Yes
No

I prefer to get up early

Yes
No

About your environment

TIDINESS

NOISE

1 quiet, I need to concentrate
2
3 somewhat quiet
4
5 turn up the volume

I have special needs (i.e. wheelchair, learning disability, service animal, etc.)

I have allergies (please specify)

I have special dietary needs

Hobbies/Interests

Music

Freshmen and Sophomores are offered Unlimited Meal Plan which includes unlimited number of meals at WPU Cafeteria.

PLAN	NUMBER OF MEALS at WPU Cafeteria	PENN BUCKS	COST per semester
UNLIMTED	Unlimited	$0	$1985.00
225 BLOCK PLAN +100	225	$100	$1600.00
110 BLOCK PLAN +200	110	$200	$1200.00

Meal Plan*

Unlimited Plan
225 Block Plan
110 Block Plan

Hidden

OLD PLAN optionsFlex (14 cafeteria meals per week plus additional $100 in flex bucks to be used at PAC cafe.)

Yes
No

Do not delete. All the information for this field will be deleted if the field is deleted.

III. William Penn University Student Conduct Code

The William Penn University Student Conduct Code defines the minimum standards of behavior expected of persons who enroll in the University while they are on campus and in the community. Students are responsible for complying with the University rules and policies as described in the Student Handbook, Housing Agreement and the University Catalog. While individual freedom and development are of central concern, the student is expected to make choices with awareness that his/her actions may have an effect upon the rights and freedoms of other individuals and groups. Students enrolled in the University must assume responsibility for any action that is contrary to the William Penn Student Conduct Code. By signing this document, you pledge to observe the Code.

Academic Conduct

Students are to hold academic honesty in high regard.

Cheating and/or plagiarism will not be tolerated.

Providing false information on University records is prohibited.

Conduct Towards Society

Students shall abide by local, state and federal laws.

Students will not use or possess any weapons or dangerous implements on campus.

The on-campus sale, purchase, distribution, use or possession of alcoholic beverages is prohibited.

The sale, purchase, distribution, use or possession of narcotics or other controlled substances is prohibited.

General Conduct

Students will observe tobacco-free environments.

Students are to meet financial responsibilities to the University.

Conduct Towards Others

Students are to respect the rights of other persons.

Physical or psychological abuse towards any person(s), or conduct that threatens the health or safety of any person(s), is prohibited.

Sexual harassment, assault, or hazing is prohibited.

Students shall refrain from disorderly and/or obscene conduct/language.

Students shall abide by all residence hall policies as outlined in the Housing Agreement and/or the Student Handbook.

Students shall respect the instruction, research and administration of the University.

Students shall respect the disciplinary procedures of the University.

Students shall respect the property right of other individuals, organizations and the University. Theft, misuse, damage, vandalism, and/or any other unauthorized use of property is prohibited.

A complete listing of Student policies and procedures is located in the Student Handbook.

By submitting this form, I agree that I have received, read, and understood the Student Conduct Code. I understand that compliance with each and every provision of this policy is a term and condition of my enrollment.*

I HAVE READ The WPU Student Conduct Code

IV. William Penn University Sexual Harassment Policy

To our students, faculty, administrators, and staff:

Statement of philosophy: William Penn University strives to recognize human dignity and therefore does not tolerate sexual harassment or any type of harassment within or connected to this institution. Harassment is illegal and unfairly interferes with the opportunity for all persons, regardless of gender, to have a comfortable and productive education and work environment. We are committed to taking all reasonable steps to prevent sexual harassment and to discipline those who harass. We believe that a person is entitled to say “No” to unwanted sexual conduct without the fear of reprisal or retribution from any person, including faculty and supervisors.
Statement of prohibited conduct: Sexual harassment is a form of discrimination that consists of unwanted sexual behavior that is threatening, demeaning, or offensive, and unreasonably interferes with an individual’s ability to work, learn, or otherwise participate in the services and benefits of activities and programs provided by or at William Penn University. Sexual harassment is illustrated by, but not limited to, the following:
- Persistent unwelcome requests for a date.
- Persistent unwelcome requests for sexual favors or acts.
- Continued expression of sexual interest after being informed that the interest is unwelcome.
- Non-consensual and/or unwelcome physical contact.
- Nude or semi-nude posters, photos, cartoons, or graffiti in the workplace or public place that are demeaning or offensive and interfere with an individual’s ability to work or learn.
- Unwelcome visual contact calculated to be threatening and/or that unreasonably interferes with a person’s ability to work or learn.
- Retaliation, retribution, or reprisals in any form or manner in response to complaints about harassment, to requests for the harassing conduct to stop, or for assisting a person with a complaint of harassment.
- Use of physical strength to interfere with job performance or learning.
- Preferential treatment or promise of preferential treatment for submitting to sexual conduct.
This list is not intended to be nor should it be construed as all inclusive of prohibited acts under this policy. Any of the prohibited conduct described here is sexual harassment of anyone to whom it is directed or who is otherwise subjected to it. Each incident of harassment contributes to a general atmosphere in which everyone suffers the consequences. Sexually oriented harassment has no legitimate place at a higher education institution. The person who engages in such will bear the full responsibility for such unlawful conduct.
Scope of policy: The policy applies to administrators, faculty, staff, agents, and students at all times and places in connection with this institution. Compliance is a condition of being enrolled as a student at William Penn University. This policy applies to those who do business here. Compliance with this policy is a term and condition of employment with this institution. The terms “employee” or “employment” include, but are not limited to, faculty, staff, administrators, agents, and contractors.
Discipline: In the event of the determination of harassment, discipline may include, but is not limited to, any of the following:
- oral reprimand
- termination of dismissal
- written reprimand
- suspension from school
- termination of contractual relationships
- expulsion from school
- suspension (with or without pay)
The final discipline shall be determined exclusively by a committee composed of the contact people that have been designated by the institution. A determination of sexual harassment under this policy shall be placed in the harasser’s personnel file.

Harassment of employees or students by third parties is not acceptable. William Penn University will do whatever it reasonably can to stop such harassment. Harassment is a violation of state and federal laws and the harasser may be charged by appropriate agencies.
Contact person: Contact persons are selected by you and your peers and are trained in identifying sexual harassment and handling sexual harassment complaints. They are available to assist you in identifying and stopping sexual harassment.
Procedures: The purposes of these procedures are to provide a prompt and fair resolution of problems and to preserve the due process rights of all involved, including the rights to receive notice of complaints and to have an opportunity for an impartial investigation. These procedures also are created to provide for discipline of violators of this policy. However, the University’s administration may take any immediate action to stop harassment if reasonably necessary, and is not limited to the process provided herein.
In the event that you believe that sexual harassment has occurred or is occurring, you are encouraged to communicate clearly, preferably in writing, to the harasser and state that the conduct is not acceptable. You are encouraged to maintain careful written records of the harassment and to continue to maintain current records throughout the process.

Complaints of sexual harassment that are in violation of this policy will be accepted in writing or orally. Anyone who has observed sexual harassment should report it to a contact person. A complaint is not limited to someone who is the direct target of the harassment.

If the conduct is not stopped after your communication, or if you do not wish to make the initial contact with the harasser, you may file a “Sexual Harassment Incident Report” with any person designated as a contact person. The names and locations of these people will be posted throughout the campus. This contact person will assist you with your “Sexual Harassment Incident Report” and with the process. The contact person also will attempt to resolve the matter at this stage if you wish.

Any complaints that involve students as both complainant and accused must be referred to the Judicial Board for disposition. All others are referred to the Sexual Harassment Committee composed of the contact people appointed by the University. The convener of the Sexual Harassment Committee is the Director of Human Resources.

A designated investigator will complete and investigation, make a determination of whether sexual harassment has occurred, and recommend discipline if harassment is found. The parties to the complaint will be provided written notice of all determinations and recommendations and receive copies of any documents received by investigators.

All reasonable attempts will be made to complete this entire process within 30 days of the filing of a “Sexual harassment Incident Report”.

On or about 30 days after the completion of the above process, the investigator or original contact person will communicate with each of the parties. The purpose of this follow-up is to discourage any further harassment, retaliation, or retribution that may occur or has occurred.
Confidentiality and prohibition of retaliation: Confidentiality shall be maintained to the greatest extent possible within the requirements of conducting reasonable investigations. Only those who have an immediate need to know will or may find out the identity of the parties. Any retaliation against a complainant or witnesses is prohibited specifically by this policy and the person(s) will be disciplined.
Training: Training sessions will be conducted for all employees, agents, supervisors, and administrators regarding this policy and the prevention of sexual harassment. The intent of this training is to produce and institution that is free of harassment and that provides the opportunity for everyone to reach full potential in the performance of his or her assigned job or educational pursuits.

A complete listing of Student policies and procedures is located in the Student Handbook.

By submitting this form, I agree that I have received, read, and understood the Sexual Harassment Policy. I understand that compliance with each and every provision of this policy is a term and condition of my enrollment.*

I HAVE READ The WPU Sexual Harassment Policy

V. Housing Contract. Terms and Conditions

ELIGIBILITY: To be eligible to live in a residence hall you must be enrolled as a full-time student at William Penn University, or otherwise deemed eligible by Residence Life.
DATES OF CONTRACT: This housing contract begins three days prior to the first day of classes for new and returning students, the actual dates to be determined from the official calendar as published. Christmas recess is excluded from this agreement and the individual student is responsible to find accommodations during this period. Residence Halls are closed during Christmas break, reopening three days prior to the first day of classes in January. Residents are to vacate campus within 24 hours of their last final in December. Room occupancy ultimately concludes 24 hours after residents’ last final in May. For graduates, room occupancy concludes at 1 PM on the day of Commencement. Students who move in prior to or stay after the designated occupancy period will be charged $100/day for every day outside this period. These plans must be communicated to a Residence Life Director and charges paid to the Business Office ahead of time. Students failing to vacate campus during the Christmas break period will also be charged $100/day and must communicate their plans with a Residence Life Director and pay charges to the Business Office ahead of time.
DEPOSITS: In order to be assigned a room, a student must have a $100 housing deposit on account. Request for refund of housing deposit must be postmarked by May 1 for the fall semester and December 1 for spring semester. Housing deposits carry over from semester to semester and are refunded upon cancellation of residency (move off-campus or graduate). Housing deposits will not be refunded to students whose rooms sustained damage or to those with an account balance.
OCCUPANCY: It is agreed that only the undersigned student (and other students assigned by the University in case of multiple occupancy units) will occupy said premises during the terms of the lease. Students found residing in a room not assigned by the Residence Life Director will be fined a minimum of $200 and be required to move to their assigned room the same day. Students may occupy a private room (when available) upon payment of $400 per semester above the regular room rate.
VACANCIES: If vacancies occur in the room, the remaining student agrees to accept other students as assigned or be reassigned unless the single occupancy charge has been paid. The University reserves the right to consolidate all vacant spaces and/or deny single occupancy requests.
FURNISHINGS: The University agrees to provide housing space that meets college standards. Standard equipment will include one set of residence hall room furniture: bed, dresser, wardrobe (in Lewis Hall), desk, chair and either curtains or blinds at the windows. The University further agrees to provide and maintain windows and working door locks.
DAMAGES: Residents are not permitted to decorate or use the room in a manner that will cause damage to the room. Students will be charged for damages caused by the use of tape, nails, screws, or tacks in walls, furniture, or fixtures. A room condition assessment will be made available to residents prior to or during move-in. The resident has 3 days after moving in to report additional damage not reflected in this report. When a room becomes vacant, it will be inspected for new damages and the student(s) will be charged accordingly. All students occupying a room are liable for damages occurring to the room. All residents are liable for damages to common areas of the building in which they reside. Damage due to vandalism that cannot be attributed to a specific person will be divided among the residents of that particular floor or housing unit.
STUDENT CONDUCT: Students assume responsibility for themselves and their guests in following University regulations as outlined in the William Penn University Student Handbook.
NO ALCOHOL/ILLEGAL DRUGS: William Penn University is a “dry” campus. The use of these substances on campus is strictly prohibited.
NO FIREARMS, WEAPONS AND EXPLOSIVES: Firearms of any kind (including airsoft/bb guns, etc.) or any type of weapon (knives, hatchets), or explosives of any kind, including illegal items such as firecrackers and bottle rockets, are strictly prohibited at William Penn University.
KEYS/ID: Students will be issued a student id, room, and mailbox keys. Lost keys should be reported to the Residence Life Office promptly. There is a $75 replacement charge for each room key, $50 charge for each student id, and $10 charge for each mail key.
PERSONAL PROPERTY: The University does not assume liability for students’ personal items that are stolen, lost or damaged. Students may wish to insure their personal property through their own or family insurance plans. The University specifically accepts no responsibility for any property left after termination of occupancy.
ACCESS TO PREMISES: The University will make a room check or search in accordance with the conditions stated in the Student Handbook. The University shall have access to the premises at all reasonable times for purposes of monthly safety inspections, damage, cleanliness, and for maintenance requirements. The University reserves the right to enter premises without consent of the student if the University believes that an emergency exists with respect to the life of the student, or to maintain property, or so that repairs may be affected.
MEALS: Students living on-campus are required to be on the University meal plan. Meals are not served during Thanksgiving and Spring Breaks.
CANCELLATION: This contract shall be in effect for the full contract period. Students will be excused at the end of a term under the following conditions:
- Withdraw from school
- Graduate
- Live with spouse or child
- Live with your parent or legal guardian
- Have 58 or more semester hours – or AA Degree
- Reach age 21 by first official day of classes for next term
The University has the right to refuse housing or revoke housing privileges for disciplinary reasons.

The signing of this document establishes a contractual relationship between the student and the University. The Student Handbook is an integral part of this relationship and the signing of this document indicates that I agree to adhere to all policies and procedures as stated in the Student Handbook. I also understand that if I am ever released from the residence halls for any reason, my housing and food fees will be prorated in accordance with the tuition refund schedule as stated in the Course Catalog.

Signature (please type your full name)*

Date*

Parent/Guardian’s Signature (if student is under 18):

Date

Comments

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