2022 - 2023 NACURH Affiliation - Check Payment
Please review the Affiliation Guide under the "Affiliation Resources" tab to help you affiliate! If you further questions about the process or have a specific question not covered in the guide please reach out to nco@nacurh.org, that inbox will be monitored by all NACURH executives who will respond as quickly as we are able.
Institution Name
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Please Indicate which region your institution is in
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Please Select
CAACURH
GLACURH
IACURH
MACURH
NEACURH
PACURH
SAACURH
SWACURH
Regional Map
Contact Information
NCC: The purpose of National Communication Coordinators within NACURH is to provide leadership as their institution's primary contact person, and to serve as a liaison between the campus, regional, and NACURH level. NCCs shall represent and vote on behalf of their campus representative student governing unit in NACURH and regional business meetings.
National Communications Coordinator (NCC) Name
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First Name
Last Name
NCC Email
*
example@example.com
RHA Representative Name
*
First Name
Last Name
RHA Rep Email
*
example@example.com
Advisor Name
*
First Name
Last Name
Advisor Email
*
example@example.com
Additional Advisor Name
First Name
Last Name
Email
example@example.com
NRHH Contact
*NRHH affiliation occurs through a separate link. Your NRHH representative can find the form to complete NRHH affiliation on the affiliation page of the NACURH website. If you have questions, please contact your regional Associate Director for NRHH or the NACURH Associate for NRHH at nan@nacurh.org.*
Does your institution have an NRHH Chapter?
*
Please Select
Yes
No
No, but we are interested in forming one
NRHH Representative Name
First Name
Last Name
NRHH Representative Email
Institutional Information
Institution Designation (select all that apply)
*
Community College
Flagship
Historically Black Colleges & Universities (HBCU)
Hispanic Serving Institution (HIS)
Majority Minority Institution (MMI)
Religious Affiliation
Tribal Affiliation
Flagship Institution
Military Branch Affiliation
Research 1
Private
Public
Campus Enrollment (# of Students)
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On-Campus Housing Capacity (# of Students)
*
2022 - 2023 On-Campus Housing Population (# of Residents)
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Does your campus have any live-on requirements?
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Yes
No
If you selected 'Yes' please Indicate all populations required to live on campus
First-Year
Second-Year
Third-Year
Fourth-Year
All students are required to live on campus
Other Populations
If you selected 'Other Populations' please describe below
Department Information
What is your housing department's name? (ex: Division of University Housing, Department of Housing & Residence Life, etc.)
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What engagement model does your housing department utilize?
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Curricular Approach
Programming
Other
How would you describe the role of your student housing organization in the engagement model indicated above?
RHA Information
What is the name of your on-campus student housing organization? ex: RHA, HGSA, etc.
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What positions comprise your campus housing org's executive board? Please list below
*
Are student staff (Resident Assistants, Community Assistants, etc.) permitted to serve on your executive board?
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Yes
No
Please list what student staff positions are permitted to serve on your executive board
Are members of your student housing organization's executive board compensated? (Such as the costs of room & board covered, meal plans, stipends, etc.)
*
Yes
No
If you selected 'Yes' please mark all ways your executive board is compensated
Full housing cost covered
Partial housing cost covered
Full meal plan covered
Partial meal plan covered
Stipend
Parking Pass
Scholarship
Other
If you selected 'Other' please indicate other ways your Executive Board is funded
What does your student housing organization focus on mostly throughout the year?
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Advocacy
Leadership Development
Programming/Events
Other
If you selected 'Other' please explain the main focus of your housing organization.
Does your organization host general-body meetings?
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Yes
No
If you selected 'Yes' what is your average attendance?
What is your organization's typical annual (Fall & Spring combined) budget?
*
How is your organization funded? Please select all that apply
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Student fees
Student government funds
Fundraising (OCM, etc)
Housing department funds
Other
If you selected 'Other' please describe how your organization is funded
Is NRHH on your campus a part of your student housing organization or a separate organization?
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Part of our housing organization
NRHH is a separate organization
How would you describe the relationship between your student housing organization and NRHH chapter? (if applicable)
Acknowledgements
1. Institutions who affiliate an NRHH chapter will receive a $30.00 reduction to affiliation fees (typically $130.00) and will only pay $100.00 for affiliation. When submitting payment information below you will select 2022-2023 INSTITUTIONAL AFFILIATION WITH NRHH. If you select this and do not affiliate an NRHH chapter within 30 days you will be invoiced the traditional cost
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I Acknowledge that our NRHH chapter must affiliate within 30 days of submitting this form or you will be charged the full affiliation cost
I do not have an NRHH Chapter and am not eligible for the discounted affiliation cost
2. I would like to include in my affiliation a coupon for 8 Bronze Pins to be purchased from the NACURH store for $20.00 (typically $32.00). This coupon will not be added to your affiliation costs and will distributed at a later date.
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I would like to receive a coupon for 8 Bronze Pins ($20.00)
I would not like a coupon at this time
3. I Acknowledge that If I would like to pay for Affiliation by check I must contact the NACURH Associate for Operations (nao@nacurh.org) for all billing information and paperwork.
*
Yes
Document Submission
This year we have begun developing the NACURH Constitution Database to ensure easy access to past governing documents and for other campuses to learn from each other. In addition to your organizations constitution we ask that you submit by-laws (if you have them) as well as any training materials you think could be beneficial for others to learn from (schedules, resource documents, RHA guides, etc.)
RHA (or equivalent) Constitution
*
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RHA (or equivalent) By-Laws (Optional)
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Membership List (Optional)
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Training Materials (Optional)
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Pay By Check
To pay by check, please select this option and email the Nathan, the NACURH Associate for Operations at nco@nacurh.org to receive an invoice and mailing instructions. PLEASE NOTE that due to the high volume of affiliation submissions, emailing nco@nacurh.org is the fastest way to ensure that your institution gets the necessary materials to complete the affiliation process.
Please Select the Affiliation Type below
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2022 - 2023 Standard Affiliation: $130.00
2022 - 2023 NRHH Affiliation Discount: $100.00 (must affiliated an NRHH)
2022 - 2023 New Affiliation: $45.00 (first-time or first-in-three-years affiliates only)
2022 - 2023 Partial Affiliation: $80.00 (All NACURH Resources excluding Regional Services)
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