Request To Stay On Campus During Breaks

REQUEST FOR PERMISSION TO RESIDE ON CAMPUS DURING OFFICIAL CAMPUS CLOSINGS

Please choose from one of the follow:
School Opening
Fall
Thanksgiving
Holiday
Spring
Graduation
Summer

I am requesting permission to stay on campus until

(date)
(time)
I am requesting permission to return to campus on

(date)
(time)

Name:
Box:
Student ID:
Hall:
Room:
Phone:
E-mail:
Hometown:

REASON FOR STAYING LATE AND/OR RETURNING/ARRIVING EARLY:
(Please choose one of the following)
International student
Flight schedule
(copy of flight itinerary and receipt must be provided)
Athletics
Name of sport
Working on campus
Name of position/supervisor
College sponsored event
Name event
Student teaching/internship
Name sponsor
Other
Please list reason

ROANOKE VALLEY RESIDENTS WILL NOT BE GIVEN PERMISSION TO STAY IN RESIDENCE HALLS DURING CLOSED PERIODS
OR FOR MORE THAN 24 HOURS PAST THEIR LAST CLASS OR EXAM.
CONDITIONS FOR STUDENTS STAYING IN THE RESIDENCE HALLS DURING CLOSED PERIODS
1. Do not invite or allow anyone into the building who is not authorized to be there or who you don 't know.
2. Report immediately any persons unauthorized to be in the hall to the Campus Safety Office, x2310.
3. Report any unusual circumstances or activities to the Campus Safety Office, x2310.
4. No food service is available during closed periods. Your sponsor or you are responsible for your meals.
5. Campus services are not available during closed periods, i.e., Health Services, etc. If you require medical attention during closed periods the following services are available:

Braeburn Family Practice and Urgent Care Center
1930 Braeburn Circle, Salem
772-4540

West Salem Family Practice and Urgent Care Center
150 Spartan Drive, Salem
387-0441
Lee Hi Urgent Care Center
2155 Apperson Drive, Salem
776-5656
Lewis Gale Emergency Department
1900 Electric Road, Salem
776-4060
6. Residence Life staff, i.e., AC, RA, is not "on duty" or available in the buildings during closed periods or they may be engaged in extensive training. The Campus Safety Office, x2310, is available in emergency situations.
7. You are bound to the Student Conduct Code during closed periods. Violation of policies, e.g., visitation, alcohol, quiet hours, etc., will result in immediate dismissal from the campus for the duration of the closed period. Appropriate disciplinary consequences will apply.

I, , understand that I must abide by all of the above conditions as well as the Student Conduct Code.

 

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