Housing FormLoading...MNU is, by definition, a residential university. In support of this aspect of the University's character, the Board of Trustees has established a policy requiring most students to live on campus. The policy is that all unmarried students under the age of 22, not living with parents, must live on campus if they take more than 11 semester hours of classes. Exceptions to this residence policy are administered by the Housing Committee.All new MNU students, whether living on-campus or commuting, must complete this form. Biographical InformationFirst NameLast NameAddressAddressCountryStreetCityRegionPostal CodeEmailMobileBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900GenderGenderFemaleMaleAcademic InformationStudent TypeFirst-time FreshmanTraditional TransferEntry TermFall 2022Fall 2023Fall 2024Spring 2023Spring 2024Housing QuestionnaireDo you plan to live on or off campus?Off CampusOn CampusAre you planning to live with your parents?YesNoOff-Campus Exceptions (please select the statement that fits your anticipated living situation)Off-Campus Exceptions (please select the statement that fits your anticipated living situation)22 years of age prior to beginning of semester and in good academic standingFormer student and have not been enrolled at MNU for two or more consecutive semesters and have established housingLiving with parent or person who has served as legal guardian in lieu of parents, in their permanent place of residence. Address must be within 45 miles of University.Married or previously married (verification may be requested)Never enrolled at MNU and maintains permanent residence in Kansas City area, independent from parent(s) or legal guardian(s) for a minimum of one yearPart-time student enrolled in no more than eleven hoursWith dependent(s) and serving as custodial parentTo request an exception, please fill out the Off-Campus Petition and submit to Student Development.Roommate PreferenceHow would you describe your personality?1 (Introverted)2345678910 (Extroverted)List your favorite hobbies:What type of music do you listen to?How clean do you normally keep your room?1 (pig pen)2345678910 (surgical table)What is your organizational style?1 (highly structured)2345678910 (go with the flow)How do you handle conflict?1 (ignore it)2345678910 (confront it)My spiritual life is important to me:YesNoAre you playing an official sport at MNU?YesNoWhich sport? If you are participating in more than one, please select both.BaseballCheerDrumlineFootballMen's BasketballMen's Cross CountryMen's GolfMen's SoccerMen's TrackSoftballVolleyballVR BaseballVR Men's BasketballVR Men's SoccerVR SoftballVR VolleyballVR Women's BasketballWeightliftingWomen's BasketballWomen's Cross CountryWomen's GolfWomen's SoccerWomen's TrackWould you like your coach or the Resident Educator to choose a roommate for you?YesNoAdditional comments or questions:Private RoomsIf space is available, students may apply for private rooms (bedroom). First priority will be given to students with documented medical conditions. The private room fee is $977.00 per semester. The Student Development Office reserves the right not to guarantee the availability of private rooms and the right to reassign students. Students, regardless of single room status, may be required to move to another room assignment to consolidate vacancies.Request a private roomRequest a private roomYesNoStudent Disability Accommodations PolicyThe Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act prohibit against individuals with disabilities. The purpose of these laws is to remove barriers that prevent qualified individuals with disabilities from enjoying the same opportunities available to persons without disabilities. A student with a disability who wishes to request a reasonable accommodation must contact the Director of the Academic Success Center at 913-971-3387 or asc@mnu.edu.MNU's complete policy regarding student disability accommodations may be found at mnu.edu/ADA.Vaccinations/ImmunizationsIt is the policy of the State of Kansas that incoming students residing in student housing be vaccinated for meningitis or sign a waiver refusing receipt of the meningitis vaccine. All students who will reside in university housing should have one Meningococcal SCWY (MCV4, not Meningococcal B) at age 16 years or older. If you received the Meningococcal SCWY prior to your 16th birthday, a booster will be necessary to ensure adequate protection and is due by the end of August (fall semester) or by the end of January (spring semester).Have you received the meningitis vaccine?YesNoDate of VaccinationDate of VaccinationJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042Would you like to request a waiver?YesVaccination WaiverPlease read the Centers for Disease Control educational material regarding the hazards and risks of meningitis disease and the meningococcal vaccine at cdc.gov/vaccines. I have read the educational information referred to me in this form about the risks of contracting meningitis and I am refusing the vaccination.YesNoPlease provide your electronic signature:Submit
