EmailMe Form - Ponchartrain Halls Online Lease Agreement

Ponchartrain Halls Online Lease Agreement
This form must be COMPLETED for your lease to be approved.An asterisk indicates required field.

Last Name *

First Name *

Middle Initial

Permanent address *

Number and street

City *

State *

Zip *

Current Phone # *

Include area code

Cell Phone #

Include area code

UNO Email address *

Other Email address

UNO Student ID # *

Birthdate *

YYYY

Gender *

Emergency Contact Name *

Emergency Contact # *

Include area code

Year in College *

CHOOSING YOUR UNIT

Please make your selection from the unit style you are willing to accept and rank order by placing 1, 2, 3, etc in the boxes below.

Four Bedroom (97sq ft)

Four Bedroom (90sq ft)

Two Bedroom

One Bedroom

CONTRACT TERM

The FALL housing term is from the 19th day of August, 2010, ending on the 11th day of December, 2010 at noon.

The SPRING housing term is from the 13th day of January, 2011, ending on the 4th day of May, 2011 at noon.

The SUMMER housing term is from the 1st day of June, 2011, ending on the 31st day of July, 2011 at noon.

The ACADEMIC housing term is from the 19th day of August, 2010, ending on the 4th day of May, 2011 at noon.

The FULL YEAR housing term is from the 19th day of August, 2010, ending on the 31st day of July, 2011 at noon.

Term *

Please select the term for which you are applying.

MEAL PLAN

Please select the meal plan that best fits your needs by checking the appropriate box below. Meal plans are required for residents of Pontchartrain Halls for the Fall and Spring semesters only. No meal plan is required during the summer semester. If you do not indicate a meal plan option, the resident will be assigned to the minimum meal plan of 10 meals per week.

Meal plan *

Please place your initials in the space provided as verification that you have read the online lease contract terms.

You MUST agree to the terms

I have read the online lease contract trems. *

Please place your initials in the space provided as verification of your rank order listed above.

I verify that the rank order listed is correct. *

Please type your UNO student ID number in the space provided as your electronic signature.

Your UNO STudent I.D. # is needed to process this request.

UNO student I.D. # *

Please note that you will be required to physically initial a paper copy of this document upon check in

The lease will be available when you check in with Housing.

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