Off-Campus Verification Form

Emmaus Bible College has the desire to help form and educate the student both in and out of the classroom. While much learning happens within the classroom experience, it is the desire of the College for each of its students to learn personal accountability, develop lifelong relationships, and understand proper standards in living within a community. As such, the College requires all full-time students to live on campus so they may take part in the growth and development offered within a residential living environment. However, it has been determined that there are students who qualify for an exception to live-off campus.

• Married students
• Students living with parents, grandparents, or legal guardians
• Students 24 years old or older prior to the first day of classes
• Students who are entering their 5th year in the Emmaus residence halls but are not yet 24 years old
• Students living with a child/dependent

The following students qualify for an exception based on their current academic status. Residence Life staff will confirm this status with the college Registrar.
• Educational Ministry Students completing a 12 credit internship in their last semester. (students completing an internship early and returning as a full-time student after their internship will be required to resume living in residence)
• Teacher Education students completing a student teaching assignment in their last semester.
• 3rd and 4th year NICC Nursing students as indicated by the Registrar. (taking 3 credits or fewer classes on campus). Cross-Cultural Nursing Students or other applied health sciences in their final year only as indicated by the Registrar (taking 3 credits or fewer classes on campus)

Name*

First Name Last Name

Phone Number*

Please enter a valid phone number.

Please select the exception that describes your situation.

Married StudentLiving in the same house as parent, grandparent, or legal guardian24 years or older prior to first day of classesEntering 5th year at EmmausEducational Ministries Intern (must be a 12 credit internship)Student Teacher in Dubuque Schools3rd or 4th year dual enrolled NICC Nursing student (3 credits or less of on campus classes) Cross-Cultural Nursing student or other NICC applied health sciences in final year of program (3 credits or less of on campus classes)Part-time student (less than 12 credit hours)

All students who are eligible for an exception to living on campus must submit their off-campus address. If you do not yet know your addess, you must submit your address verification by the first day of classes using the following additional Address Verification Form.

Local off-campus address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please list any and all roommates*

By signing below, I understand and agree to the following:

Any student found to not be living according to their stated exception will have their off-campus status revoked and will be asked to return to campus and charged room and board. (Students who state that they are living at home must actually be residing, full-time, at and with their parent's, grandparent's, or legal guardian.)

Expectations for Students with Off-Campus Permission

Commit to living out the Faith and Lifestyle Committment in their homes and neighborhoods while enrolled at Emmaus Bible College.
The student handbook is still applicable to all off-campus students
Maintaining safe and quality living environments and establishes good relationships with neighbors and the community.
Represent Emmaus Bible College well in how they care for the home and property.
Provide their own overnight parking off-campus (the College does not provide off-campus students with overnight parking on campus).
Take care of their own garbage (do not dispose of your garbage in on-campus receptacles).
Take care of their own laundry (do not use Emmaus on-campus laundry facilities).
Pay for all meals in the Pile dining hall, there are no meal plans currently offered for off-campus students.
Attend required off-campus meetings.
Provide the Residence Life Office with their local address and phone number by the end of the first week of classes.

Signature*

Clear

Off-Campus Verification Form

Personal Information

Off-Campus Address