Conferencing Check In/Out Form

Conferencing Check In/Out Form
Group Name*
Department Name
Facilitator Name*

First NameLast Name
W Number
If applicable
Check In Semester*
Email*
Please use WNMU email if applicable.
Phone Number*
Residence Hall(s)

Centennial HallMustang Village A NorthMustang Village A SouthMustang Village BMustang Village CMuir Heights
Room Number(s)
If multiple, please list all suites.
TO THE PURCHASER: The room(s) should be clean and in good repair. When moving in, please examine the room(s) thoroughly and note the check-in condition on this form (Good, OK, NA, switch boken, dirty, etc.). Give as much detail as possible- this will serve as protection for you to avoid possible charges later. It also assists us to get repairs done promptly.

Please review each item in each room and rate it.*

Additional Notes
This group is assigned...*

Swipe keysHard KeysOther
Amount of assigned swipe keys*
Hard Key Codes *
List key codes for each room.
In order to check out properly, the following requirements must be met:
- All furniture must be cleaned.
- All windows and mirrors (inside) must be cleaned.
- All walls, ceilings, and floors must be clean
- Dispose of refuse
- All items other than the furniture assigned to the space must be removed.
IMPROPER CHECKOUT

Any left belongings will be disposed of and fees for the removals will be assessed by the housing office. Failure to return a swipe key is $50 per key. All charges will be assessed to the appropriate account and must be paid before entering the residence halls again.
Purchaser Sign In*

Clear
Date*

MonthDayYear
Staff Sign In*
Unique RA/HD Identifier*
Purchaser Sign Out

Clear
Date

MonthDayYear
Date
Staff Sign Out
Unique RA/HD Identifier
STAFF USE ONLY
Additional Notes
Should be Empty: