NCC Housing Contract Listen Name * Required First Middle Last Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email * Required Phone * RequiredGender * Required Male Female Birth Date * Required Month Day Year NCC Program * RequiredPlease selectAccountingAgriculture - OnlineAssociate Degree NursingAssociate Degree Nursing - HybridAssociate of Arts: BusinessAutomotive & Light Duty Diesel TechnologyBusiness (Diploma)Business ManagementDesign TechnologyDiesel TechnologyElectrical TechnologyEngineering DesignGraphic Design - OnlineHealth Information Technology - OnlineHeavy Equipment Operation & MaintenanceIndustrial & Commercial WiringIndustrial Instrumentation & ControlMedical Coding - OnlinePharmacy TechnicianPowerlinePowerline TechnologyPractical NursingPractical Nursing - ExtendedProduction WeldingRadiologic TechnologyUndecidedHave you applied for admission at NCC? * Required Yes No Have you received official notification of acceptance to NCC? * Required Yes No Will you be full-time your first term? * Required Yes No All residents must be full time registered students. Exceptions may be granted by the Coordinator of Housing.Housing OptionsPreference * Required Cherokee Hall: One Bedroom (2 residents) Cherokee Hall: Two Bedrooms (4 residents) Lyon Hall: Two Bedrooms (4 residents) O'Brien Hall: Two Bedrooms (4 residents) Osceola Hall: Four Bedrooms (4 residents) If the resident should decide to move from the apartment/suite prior to the end of the contractual period for ANY reason other than documented health reasons or military involvement, the housing deposit may be forfeited. You may also be charged for the contractual period you indicate on this contract. ***NCC reserves the right to change room occupancies based on need. Room cost per student per term.Roommate preference, if any:FirstMiddleLast Please check here if you have special needs that should be considered in making your assignment. Special Needs Upload letters of explanation regarding your special needs from you and your physician. Drop files here or Select files Max. file size: 256 MB. Accommodations and Terms The resident hereby contracts for the occupancy of an apartment/suite operated by Northwest Iowa Community College for the academic year:Please mark the semester that you will be moving into Housing: * Required Fall Spring Summer Moving In Year * Required Please mark the semester that you will be moving out of Housing: * Required Fall Spring Summer Moving Out Year * Required Rent The College reserves the right to change the rental rates, application fee, and housing deposit any time without prior notification to applicants or residents.Rental Refund Rent is non-refundable. Exceptions may be made when a resident leaves the College for health reasons or military activation.Housing Deposit At the time the contract is signed, the resident will deposit with NCC, the sum of $190.00, which includes a $15 non-refundable application fee, and $175 housing deposit from which NCC may withhold such amount(s) as are deemed necessary to: A. Remedy the resident's default for non-payment of rent; B. Restore the leased apartment/suite to its condition at the time of rental; C. Recover expenses incurred in acquiring possession of the leased apartment/suite from the resident in the event that the resident does not surrender possession pursuant to the terms of this agreement. D. Remedy any charges on the resident’s NCC account. E. Subject to the foregoing, NCC will return the $175 housing deposit to the resident, less any deductions, within ninety (90) days of the date of termination of the tenancy and receipt of the resident’s mailing address and delivery instructions. In the event that all or part of the deposit is retained, a written statement setting forth the reasons for the retention will be sent to the resident. If the resident should decide to move from the apartment prior to the end of the contractual period for ANY reason other than documented health reasons or military involvement, the housing deposit may be forfeited pursuant to subsections 5 (A)-(D) above. If damage exceeds $175 the student will be responsible for any amount in excess thereof. Residence Hall charges will be forfeited if the student officially withdraws from NCC during the academic semester. Additionally, as discussed above, the housing deposit may also be forfeited if the student officially withdraws from NCC during the academic semester. UNDER NO CIRCUMSTANCES WILL VERBAL CANCELLATIONS BE ACCEPTED.Non-Payment of Rent In addition to NCC's other remedies provided by law and by this agreement, if the rent is unpaid when due and the resident fails to pay the rent within three (3) days after notice by NCC of non-payment, then NCC may terminate this rental contract.Break ALL residents are required to move out of resident housing during official breaks. Student key cards will be inactivated during official college breaks. Students who wish to stay during official breaks must be approved by Coordinator of Housing and obtain a supplemental contract. Additional charges will be assessed.Effective Date This rental contract shall not be effective and binding on NCC until accepted by NCC.Entire Agreement This rental contract contains all of the terms and conditions of the Agreement between the parties. Any changes or modifications to the rental contract must be in writing. No oral modifications shall be permitted by the NCC Housing Coordinator or the student. NOTICE: The last day of classes for each term shall be the day so designated by the NCC calendar. The resident understands that NCC will assign other residents to the apartment. NCC reserves the right to change room assignments at any time. Non-related roommates of the opposite sex will not be allowed to rent as roommates in on-campus housing. Non-related overnight guests of the opposite sex will not be allowed. Attached to this rental contract is a summary of the NCC Housing Rules and Regulations. A complete set of rules and regulations is available on the NCC website. By signing this contract, you acknowledged that you have received, read and will follow these regulations. Signature * Required Reset signature Signature locked. Reset to sign again Date * Required MM slash DD slash YYYY Residents under 18 years of age must have this contract signed below by a parent or person legally responsible for the resident's welfare. I hereby guarantee the full performance of the above Rental Contract by the resident: Parent or Guardian Signature Reset signature Signature locked. Reset to sign again Date MM slash DD slash YYYY Address of Parent or Guardian Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Nondiscrimination in Education It is the policy of Northwest Iowa Community College not to discriminate on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential parental, family or marital status in its programs, activities, or employment practices as required by federal and state civil rights statutes and all other applicable federal and state laws, regulations and orders. The Board of Trustees shall monitor progress on this policy through the President’s appointed Affirmative Action/Equity Coordinator(s). If you have any questions or complaints related to compliance with this policy, please contact one of the Equity Coordinators at Northwest Iowa Community College, 603 West Park Street, Sheldon, Iowa, room D403b or room A101D, email equity@nwicc.edu, phone number 712-324-5061, extension 113 or extension 137, fax 712-324-4136; or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 W. Madison, Suite 1475, Chicago, IL 60661, email OCR.Chicago@ed.gov, phone number 312-730-1560, fax 312-730-1576. The College’s Title IX Coordinator or his/her designee (“Title IX Coordinator”) coordinates the College’s response to reports of sexual harassment. The Title IX Coordinator does not serve as an advocate for either the complainant or the respondent. The Title IX Coordinator will explain to both parties the informal and formal processes and the provisions of confidentiality. Where appropriate, the Title IX Coordinator will provide to both parties information on options for obtaining advocacy, medical and counseling services, and making criminal reports, and will assist with providing information on other resources. The Title IX Coordinator will coordinate with other campus officials to implement and coordinate appropriate supportive measures such as mutual no-contact orders and academic accommodations. The Title IX Coordinator is trained and knowledgeable about enforcement, compliance, communication, and implementation of the College’s anti-harassment and anti-discrimination policy. The Title IX Coordinators’ contact information is as follows: Title IX/Equity Coordinator (for employees) Renee Carlson Phone:712-324-5061, Ext. 113 Email: rcarlson@nwicc.edu Title IX/Equity Coordinator (for students) Sarah Breems-Diekevers Phone: 712-324-5061, Ext. 137 Email sbreems-diekevers@nwicc.edu A signed contract, $15 non-refundable application fee, and $175 housing deposit must be returned to NCC. Housing will not be secured until the application fee and security deposit are received and contract is approved. Northwest Iowa Community College Housing Division 603 West Park Street Sheldon, IA 51201 This security deposit is refundable online if requested by July 1 for Fall, Nov 1 for Spring, or April 1 for Summer.Housing Deposit * Required Price: Payment Method * RequiredPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
