Request To Stay Over Break Form – Glen Oaks Community College

Name *

First Last

Student ID# *

Room # *

Cell # *

Email *

Break Period of this Request *

Thanksgiving
Winter
Spring Break

Reason For Request *

There is a standard fee for staying in the Suites during break periods. The fee(s) are as follows: Thanksgiving Break - $125, Winter Break - $350, and Spring Break - $125. The applicable fee MUST be paid prior to break. Please state why you need to stay on campus over the break. Students must provide a rationale addressing their NEED to stay on campus. The college will be closed during these breaks and only extenuating circumstances will be approved.

Terms Of Request
As the hall is closed during break periods, there are additional rules and policies due to the limited number of housing personnel on duty during this time. By signing this form and requesting to stay in the Devier Student Suites during this break period, I understand and agree that:

Approval to stay on campus during this time is a privilege, not a right.
I must continue to follow all rules and policies in the Housing Agreement.
I will be respectful to College property, including common area bulletin boards, fliers, signs, etc.
I will follow these additional terms for this break period -

‣ No guests are permitted (no exceptions)
‣ No propping doors to the outside
‣ No moving furniture in any of the common areas
‣ Failure to have my room key to get back into my hall will be considered a lock out.
‣ Meals are on my own as all campus Dining Services locations are closed during the break period.
‣ There is a standard break fee of $125 for Thanksgiving & Spring Breaks, and $350 for Winter Break. The fee associated with said break will be paid to the cashier’s office.

Any violation of these rules may lead to student conduct consequences.
Glen Oaks Community College Housing and Residence Life staff may enter rooms for maintenance and repairs during each break period. Staying over break does not exempt your room from this.

This form is due to the Housing Office by:

November 20^th – Thanksgiving Break

December 6^th – Christmas Break

March 25^th – Spring Break

Total Charge

$0.00