RESIDENCE HALL APPLICATION FORM

Student ID:

Tel. No.:

LAU email:

OTHER INFORMATION

APPLYING FOR

Academic year:

Building: Street:

Mobile No. (Lebanon):

City: Country:

Starting term: ⎕ Fall ⎕ Spring ⎕ Summer

Campus: ⎕ Beirut ⎕ Byblos

Attach a recentphoto here

PERSONAL INFORMATION

CONTACT DETAILS

First NameName:

Middle Name Family Name

⎕ Male ⎕ Female ⎕ Single ⎕ MarriedGender: Marital Status:Nationality:

Place of birth: Date of birth: / /Day Month Year

Father’s name:

Fax. No.:

Address:

Occupation:

Email:

Tel. No.:

Still living: ⎕ Yes ⎕ No

Mother’s name:

Fax. No.:

Address:

Occupation:

Email:

Tel. No.:

Still living: ⎕ Yes ⎕ No

Guardian’s name in Lebanon (if different from above):

Tel. No.:

Address:

Email:

Relation:

Major:

Other email:

PARENTS PERMISSION OF OUTSTAY

PARENT/GUARDIAN SIGNATURE:

CONFIDENTIAL MISSING STUDENT CONTACTS

HEALTH ISSUES

Do you have any special health needs?

I , (full name) hereby confirm that I allow the student during

his/her residency at the Residence Hall of the Lebanese American University in the selected campus for:

I understand that the information I supply is to be utilized in case it is established that I am a missing student. I understand

that I am solely responsible for the accuracy of the contact information and for updating this information as needed.

I designate the person (s) indicated below as the primary contact (s) in the event that I am believed to be a missing person:

Name of your personal physician, if any:

Contact Name:

1-

2-

3-

Telephone Number Address

Please list them:

⎕ BYBLOS

Desired roommate, if any:

⎕ Complete freedom of outstay (no curfew)

⎕ Partial freedom of outstay (no curfew during holidays and weekends)

⎕ No outstay (curfew everyday)

⎕ Other, (please specify):

Tel. No.:

DATE: / /Day Month Year

STUDENT/GUARDIAN SIGNATURE: DATE: / /Day Month Year

⎕ Yes ⎕ No

⎕ Dorm B ⎕ Dorm C (shared)

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ACCOMMODATION PREFERENCES

⎕ BEIRUT (Shared)

Standard Room (single)Standard Room (shared)High Standard (single)High Standard (shared) Small Apartment (single) Small Apartment (shared) Large Apartment (single) Large Apartment (shared)

HOUSING RULES AND REGULATIONS

The LAU housing is your home away from home. We will do our best to insure that you as residents are comfortable, and will tryto accommodate most of your individual needs. For the safety, security, comfort and wellbeing of all, residents must abide by the rules and regulations that are listed below:

1. Residents are encouraged to use the residence hall facilities, which include the common rooms, lounges and computers.It is the resident’s responsibility to use the facilities responsibly. Damage other than regular “wear and tear” to any of theresidence hall property or facilities will be charged to the resident’s account, according to rates set by the business officeevery year.

2. Removal of any of the equipment or furniture is NOT allowed without prior approval of the residence hall supervisor.

3. Maintenance personnel are available for all repairs needed. Fixing or attempting to fix a broken device or furniture yourselfis NOT permitted.

4. The residence halls will be closed during semester breaks.

5. Smoking is not allowed anywhere in the residence halls.

6 . Alcoholic beverages may NOT be stored, consumed, or brought on to any residence hall premises.

7. Pets are not allowed in the residence halls.

8. All residents must observe quiet hours from 11 p.m. to 8 a.m.

9. Visiting hours in the rooms are from 8 a.m. to 10 p.m. and in the lounges from 8 a.m. until 12 midnight. Guests arerequired to sign in and out at the front desk. Residents are responsible for the behavior of their guests, and bear allconsequences of any violation of regulations.

10. No mixed-gender visiting in dorm rooms is permitted under any circumstances.

11. The lounge is open 24 hours-a-day for residents ONLY.

12. The main gate (outer doors) of the residence halls are open daily from 6:30 a.m. until 12 midnight, except for Friday andSaturday nights when the closing time is 2 a.m. Any resident seeking to return later than as specified in curfew hours mustsecure parental or guardian permission by filling out the “Permission of Outstay” section in the application form.

13. Residents are required to notify the residence hall supervisor of any outstay prior to leaving.

14. Residents who enter their dorm after midnight, are required to register their name at the security desk.

15. Residents are required to regularly check the residence hall boards and website in order to be kept informed of allannouncements and instructions. Residents must abide by the safety regulations at all times.

16. Any medical emergency must be directed immediately to the residence hall staff.

17. Residence hall staff may do random checks on resident’s rooms.

18. Your valuables must be kept under lock as we are not responsible for any lost item.

19. Any violations or improper behavior may subject the resident to a citation, warning, or even immediate dismissal from thecampus residence.

20. A university campus is a trust-based community where cooperation and mutual respect of people and property is essentialand when achieved, it can become the cornerstone of your future success.

By signing this application, I understand and agree that my housing reservation will be for the entire academic year (Fall and Spring semesters). Also, I certify that I have read the Housing Contract and will abide by the above rules and regulations.

STUDENT SIGNATURE:

FOR OFFICIAL USE ONLY

/ /Date application received:

Deposit received:

Remarks:

Room assigned:

Received by:

Day Month Year

DATE:

The Housing Contract and the RH Handbook are available on http://students.lau.edu.lb/housing/apply.php