Application for Permission to Live Off Campus

This form is intended for continuing students at Kentucky Wesleyan College who are requesting exemption from the Housing Policy.

If you are a new student and are seeking exemption from the Housing Policy, please click here.

IMPORTANT - PLEASE READ
This completed application must be submitted to the Student Life Office no later than June 30th if you wish to live off campus during the academic year (Fall and Spring Semesters). After this date, students will be committed to a residence hall contract for the entire academic year. Breaking the residence hall contract will result in a $1000.00 penalty fee and loss of housing deposit.
Name
First Last
Date of Birth
MM slash DD slash YYYY
Age
Campus/Local Address
Street Address Address Line 2 City State ZIP Code
Cell Phone
Number of Semesters Lived on Campus, Including This Semester:

(Must live on at least 6 semesters)
Overall Cumulative Grade Point Average at Kentucky Wesleyan College:

(Must have at least a 2.5 cumulative GPA)
Number of Hours Completed at Kentucky Wesleyan College
If Approved to Live Off-Campus, What Will Be Your Address?
Street Address Address Line 2 City State ZIP Code
All full-time Kentucky Wesleyan College students, regardless of age, who receive the equivalent of 75% tuition in institutional aid: KWC unrestricted, restricted, and endowed scholarships for academic, athletic, talent, and need base are required to live on-campus unless they qualify as commuters and are living with their parents or legal guardian(s) at their permanent billing address. The permanent billing address where they reside must be in one of our designated “commuter counties” (KY- Daviess, Henderson, Mclean, Ohio; IN- Spencer, Vanderburgh, Warrick) or within 30 miles of campus.
Do You Have Less Than 75% Institutional Aid?
- Yes
- No
- Unknown
(Financial Aid will be contacted to verify status.)
Indicate Below Which Criteria You Meet That Could Allow You to be Granted Permission to Move Off Campus:
- 1. Students who have achieved a cumulative grade point average of 2.5 after completing 6 full-time college semesters (at least 90 credit hours); OR
- 2. Students who will reach the age of 21 prior to September 1 of the academic year with a cumulative grade point average of 2.5; OR
- 3. Students who are classified as independent (as defined by the most recently filed tax return), married, or support a dependent over 50%; OR
- 4. Students who reside in one of our designated “commuter counties” (KY – Daviess, Hancock, Henderson, Mclean, Ohio; IN – Spencer, Vanderburgh, Warrick) or within 30 miles of campus and must live with their parent(s) or legal guardian(s) at their permanent billing address.
I agree to notify Kentucky Wesleyan College, via Student Life, if this arrangement changes at any time. Kentucky Wesleyan College reserves the right to verify information provided below at any point. (I understand that) Failure to update Student Life or providing false information will result in payment in full of the charges that would be incurred from being a residential student.*
- Yes, I Agree.
Relative's Name
First Last
Relationship to Student
Relative's Phone Number
Any Additional Information That You Would Like To Be Considered?
Students whose applications are approved have two weeks from the date of their notification letter to accept or reject their permission to live off campus. Once a student has rejected their permission to live off campus for the following year, s/he may not reapply for permission to live off campus for that same year.

Please note that, due to differences in the total cost of education with off-campus housing, students who move off campus may experience a reduction in financial aid eligibility. Depending upon the student’s eligibility, there may also be a reduction in the amount of financial aid received. Any reductions in aid will be made in compliance with federal, state and institutional regulations and policies.

My electronic signature below indicates that I have read this application and I attest that that information provided on it is true to the best of my knowledge. I also understand that my financial aid may decrease if I should be granted permission to live off campus next year and do so.
Signature
Date
MM slash DD slash YYYY

IMPORTANT - PLEASE READ