Dear Student:
If you are interested in Medicine Hat or Brooks College Student Housing, please spend a few minutes
reading all of the enclosed information, then fill out the application form and return to the College.
Medicine Hat College Student Housing: Please refer to page 3 of the application for details about each
of our Residences.
The following fees will be in effect from July 1, 2014 – June 30, 2015
RENT
Regular Bedroom (Golfview & Couleeview)…… $1852/semester
Large Bedroom (Golfview only)…….……
$2016/semester
Parking (if required)…………. $100.00/semester
Residence Life Fees…………. $30/semester
Note:
Spring and summer fees for non-apprentice residents are calculated on a weekly basis.
APPRENTICES: We reserve 2 of our four bedroom units for apprentice students.
Regular Bedroom ………….…………………
$ 926 (8 weeks)
Large Room (Golfview only)
……………
$1008 (8 weeks)
Parking (if required) ………… $55 (8 weeks)
Medicine Hat College Brooks Campus Student Housing: There are 8 fully furnished four bedroom
units. You would share common areas; kitchen, living room, bathrooms.
RENT
Regular Bedroom…………………………….
Note:
$1852/semester
Spring and summer fees for non-apprentice residents are calculated on a weekly basis.
APPRENTICES
Regular Bedroom…………………………….
No parking fee at Brooks Residence
$ 926 (8 weeks)
We are looking forward to a great year in Student Housing and we want you to be a part of it.
If you require any additional information or assistance, please call the Student Housing Office at
(403) 529-3820 for Medicine Hat, or (403) 362-1677 in Brooks.
Sincerely,
Rhonda Parahoniak,
Assignment Coordinator – Student Housing
APPLICATION – Student Housing
Mail to: MHC Student Services, 299 College Dr. SE., Medicine Hat, AB, T1A 3Y6
Semester year applying for:
20______ to 20______
Spring/Summer Applicants:
Semester year applying for: 20_____
Fall/Winter (September - April)
Fall (September – December)
Winter (January - April)
Apprentices, please provide your
intake date:
From: ___________________
 Spring (late April-June)
 Summer (July – Aug.)
To:
To: ______________________________
___________________
[
]
Female [
]
MHC STUDENT ID#
_____ Medicine Hat
_____ Brooks
(Failure to provide both a move-in and
move-out date will delay process of
application) Specify month and day
From: ______________________________
Have you lived in the MHC Student Residence in the past 2 years: yes [
Male
Campus
Surname
]
First Name
Yes [
]
No [
] if yes, what semester(s) ________________
Middle Name
Permanent Mailing Address (including postal code):
____________________________________________________________
____________________________________________________________
Have you been accepted to Medicine Hat College:
no [
Name you prefer to be called
Birth Date: _______/_______/_______
M
D
Y
Telephone: (_______) - ________________ - ________________
E-mail Address: ________________________________________
Commencing year of study: 1st. [ ] 2nd. [ ] 3rd. [ ]
]
Program enrolled in: _________________________________________
Are you an Apprentice? Yes [
]
No [
]
Emergency Contact: __________________________________
Address & Postal Code: ________________________________________________
Relationship: _________________________________________
Telephone:___________________________________________________________
Accommodation Preference: While every effort will be made to give you the type of room you want, please note that assignment to a type other than the
one requested is not sufficient grounds to cancel an application without penalty.
GOLFVIEW RESIDENCE
Regular Bedroom [ ]
Large Bedroom [ ]
Please refer to page 3 of the application for details about Golfview Residence. Note: Visual Communication students will be assigned a room in our
Golfview Res. as they have a full basement where artwork can be done. Apprentices will also be assigned rooms in Golfview.
COULEEVIEW RESIDENCE
Regular Bedroom [
Please refer to page 3 of the application for details about Couleeview Residence.
]
BROOKS RESIDENCE (Brooks Campus)
Regular Bedroom [ ]
Please refer to page 3 of the application for details about Brooks Residence.
Do you prefer a very quiet Residence:
Yes [ ]
No [ ]
Do you plan to bring a vehicle: Yes [
Are you a consumer of alcoholic beverages:
Do you mind if roommates consume alcohol:
Yes [
Yes [
]
]
No [
No [
]
]
]
No [
]
Year: __________ License Number : ______________________
Make: _______________________________________________
Province: _____________________________________________
*** NOTE: ALL RESIDENCE UNITS ARE NON-SMOKING
My roommate(s) preference is: (must be mutually requested)
2. ______________________________________________________
1.___________________________________________________________
3. ______________________________________________________
Statement of Health: It is essential for your own welfare that the Student Housing Office be aware of any preexisting health problems or illness so that
proper care and attention can be given when necessary. Any special requirements need to be discussed with Student Housing . The Student Housing
Administration in consultation with Student Services, reserves the right to refuse, change, or terminate housing accommodation if it becomes apparent that
essential medical information was withheld or that a physical or mental condition while in Student Housing appears to affect the well being of other
students. (This is for everyone’s safety).
Please check one of the following statements:
[ ]
To the best of my knowledge, I am in good health.
[ ]
I have a medical condition or disability (please specify, including medicine taken).
___________________________________________________________________________________________________________________________
Name, address and phone number of family doctor:
NOTE: The submission of an incomplete or incorrect application will delay its processing and thus change its status. An
application is considered incomplete until the $300 application/security deposit fee is paid.
Method of Payment:
 Cash
 Cheque
 Visa
 MC
 Debit
Card Number ___________________________________________________ Expiry Date ________/_______
Office Use Only
Keyed by:
__________________________
Date:
___________________________
Parental Guarantee: To be completed and signed if applicant is under 18 years of age. I guarantee to pay all relevant monies arising out of the Student
Housing contract for the said applicant.
________________________________________
Guarantor’s Name
_____________________________________________
Guarantor’s Signature
___________________________
Telephone
The personal information collected on this form and any other personal information collected and maintained as part of a student housing record will be used for the purposes
of evaluating your housing application, sending follow up information, billing, and for the purposes of assuring student health and security in the event of an emergency. In
signing this form, a student consents to the disclosure of the personal information contained to the Student Housing staff as may be required for ongoing student housing
programs and activities. This information is collected under the authority of the Colleges Act of Alberta that mandates the programs and services offered by Medicine Hat
College and will be protected by the provisions of the Alberta Freedom of Information and Protection of Privacy Act (FOIP). If you have any questions about the collection
and use of this information, please contact the Medicine Hat College FOIP Coordinator, Medicine Hat College, 299 College Driv e SE, Medicine Hat, AB, T1A 3Y6.
Telephone: (403) 529-3984. For questions regarding your residence application status, please call (403) 529-3820.
Year: ____________ Month: ____________ Day: ____________ ______________________________________________
Applicants Signature
APPLICATION/REGISTRATION PROCESS
1.
You may apply for Student Housing before being accepted into a Medicine Hat College or Medicine Hat College Brooks
Campus program. We suggest that you apply as soon as possible.
2.
Apprentice students may apply for Student Housing as soon as they receive training notification for an approved apprentice
program.
3.
An application/security deposit fee of $300 must accompany your application form.
4.
Acceptances will start in June for the Fall Semester and in December for the Winter Semester.
WITHDRAWING A RESIDENCE APPLICATION OR CANCELLING AN ACCEPTED RESIDENCE APPLICATION
5.
The application/security deposit fee will be refunded if you are waitlisted and want to withdraw your application or if you are not
accepted to a program. It will be your responsibility to contact the Student Housing Office if you want to withdraw your
application or cancel an accepted application, either in writing to: MHC Student Housing, 13A Primrose Drive SE., Medicine
Hat, AB, T1B 2C4, by phone: (403) 529-3820 or by fax (403) 529-9305.
6.
For Fall Applicants Continuing into Winter Semester
a).
If an accepted Student Housing application for Fall is cancelled prior to July 1st or an accepted Student Housing
application is cancelled for Winter prior to December 1st, the student will receive a full refund of his/her
application/security deposit fee.
b).
A student who cancels his/her accepted application after July 1st, but before August 1st. for the Fall semester will
receive a full refund minus a service fee of $50.
c).
The entire application/security deposit fee of $300 will be retained if the accepted application is cancelled
after August 1st. for the Fall semester or after December 1st for the Winter semester.
For Winter Applicants
a).
A new student who applies after Dec. 1st., and cancels his/her application before Dec. 15th, will receive a full refund
minus a service fee of $50.
b).
The entire application/security deposit fee of $300 will be retained if a new student who applies after
December 1st. cancels his/her application after Dec. 15th.
For Spring/Summer and Apprentice Applications
a).
You will receive a full refund if you are an accepted resident applicant withdrawing your application two weeks prior
to your move in date.
b).
You will receive a $150 refund if you are an accepted resident applicant withdrawing your application less than two
weeks prior to your move-in date.
c).
You will receive no refund if you are an accepted resident applicant who is a now show on move in day and have
not provided prior notification of withdrawal.
7.
A resident who moves out of Student Housing will receive their $300 application/security deposit fee less any damages and/or
cleaning fees incurred (please refer to the Student Housing Handbook under Application/Security Deposit Refund Schedule).
8.
To confirm an acceptance, the entire Fall semester’s Student Housing fees must be paid in full by the 1st. day of
August. Students continuing into the Winter semester must pay their Winter semester rent by
December 1st.
TERMINATION OF STUDENT HOUSING RENTAL AGREEMENT
9.
a).
Students entering Student Housing in the fall semester must sign a rental agreement for the fall and winter semester.
Students may cancel the winter portion of the rental agreement by December 1 with no penalty. Students entering
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Student Housing in the winter semester must sign a rental agreement for the winter semester. Residents will not be entitled to
rent refunds should they decide to terminate their rental agreement.
b).
10.
Students entering Student Housing for the Spring/Summer semester must sign a minimum of a one months lease.
Students wishing to terminate their lease may do so by giving thirty (30) days notice. A refund will be issued for the
remaining rent. Failure to give thirty days notice will result in the loss of one month’s rent.
The WAITLISTED STUDENTS need to notify the Student Housing Office within the first two (2) weeks after fall classes start to
advise whether they would like to remain on the waitlist for fall; have their application transferred to the winter semester or their
$300 application/security deposit fee refunded. Students who do not notify the Student Housing Office by mid September will
automatically have their name taken off the waitlist and their $300 will be refunded.
11. Parking for Medicine Hat College Student Housing is $100 for each semester. Parking for Apprentices is $55 for an 8 week
period. Cars without the approved parking stickers will be subject to municipal parking tickets and may be towed at the
owners expense and liability. Student Housing parking tags do not allow students to park in other College lots. Guest parking
is available on Primrose Drive. Parking at the Medicine Hat College Brooks Campus Student Housing is FREE.
12. A $30 Residence Life fee will be billed to residents for each semester. This fee is payable with rent and parking. The
residence life fee covers activities for the residents throughout the year. This fee is a NON-REFUNDABLE FEE.
GOLFVIEW RESIDENCE: consists of forty eight, 4 bedroom townhouse style units and one, 3 bedroom unit that can accommodate
students with mobility impairment. All units are air-conditioned. There are 146 regular bedrooms and 49 large bedrooms. The large
bedrooms are assigned on a first come first served basis.
Furniture and Equipment: (all units are air conditioned)
Kitchen: table & chairs, ample cupboard space, fridge, self-cleaning oven, microwave, freezer, garbage can.
Living Room: sofa, 2 chairs, 2 end tables, lamp & swag lamp, 25” TV and TV stand.
Bedrooms: extra long single bed (non-allergenic), study desk & chair, bookshelf, waste paper basket, shelving in closet.
Full Basement: washer and dryer (coin free), workbench.
Misc.: vacuum cleaner, snow shovel, broom & dust pan, 1 plunger, toilet bowl brush, fire extinguisher, boot mat.
_________________________________________________________________________________________________
COULEEVIEW RESIDENCE : consists of twenty four, 4 bedroom front/back split style units, and two, 2 bedroom units that can
accommodate students with mobility impairment. There are 100 regular bedrooms.
Furniture and Equipment: (all units are air conditioned)
Kitchen: table & chairs, ample cupboard space, fridge, self-cleaning oven, microwave, garbage can.
Living Room: sofa, 1 chair, 1 end table, 25” TV and TV stand.
Bedrooms: extra long single mates bed, study desk & chair, wardrobe closet with shelving, waste paper basket.
Utility Room: washer/dryer (coin free), freezer, crawl space for storage
Misc.: vacuum cleaner, snow shovel, broom and dust pan, 1 plunger, toilet bowl brushes, fire extinguisher.
_________________________________________________________________________________________________
BROOKS RESIDENCE – Brooks Campus: consists of 8, four bedroom front/back split style units. There are 32 regular bedrooms.
Furniture and Equipment: same as Couleeview Residence (above)
NOTE: Tenants must supply their own bedding (extra long single sheets) linens, pillows, dishes, pots, pans, cutlery and
cooking utensils.
The MHC Student Housing provides a Community Room that is located in the Golfview Residence. It offers a computer lab with
internet access, games room, TV room equipped with DVD and high-fi surround sound. The Community Room is also used for
meetings and other social activities that are organized for the residents.
Telephone and Cable TV jacks are located in each bedroom. Residents must arrange for their own phone and Internet hookup through
local service providers..
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