Late Check-Out Request Form/Contract - Seattle University

SEATTLE UNIVERSITY/HOUSING AND RESIDENCE LIFE
901 12th Avenue P.O. Box 222000 Seattle, WA 98122-1090 www.seattleu.edu/student/housing
Tel.: (206) 296-6305 Fax: (206) 296-2212 Email: housing@seattleu.edu
Rental Addendum: Late Check-Out Request Form/Contract
Note: Completion of this form does not guarantee your request will be honored.
DEADLINE: Forms must be received in Housing and Residence Life by 4:30 pm on these dates:
November 10 - Fall Quarter, March 1 - Winter Quarter, May 13 - Spring Quarter
Name (Please Print): ______________________________________
Email Address: _______________________________@seattleu.edu
Current Building: ________________________________________
Student ID#: ____________________________________
Cell Phone #: ___________________________________
Current Room: __________________________________
Requested Check-Out Date: _________________________________ Date of last final exam: ___________________________
Spring Quarter only: Are you a graduating senior? YES
NO
Reason for late check-out:
Provisions:
1. This form is due no later than 4:30 pm on the following dates: November 10 (10FQ), March 1 (11WQ), and May 13 (11SQ). If
received after the deadline and late check-out is approved, an additional processing fee of $25.00 will be assessed.
2. Late check-out is a privilege, not a right. Housing and Residence Life reserves the right to refuse late check-out requests for any reason.
3. Late check-out requests are generally evaluated based on needs regarding special academic situations, international travel conflicts or SUrelated
employment because of the significant impact on operations and staff to have rooms available.
4. Approval for late check-out is granted in writing; verbal commitments are not valid. It is the responsibility of the resident checking-out late
to retain and present the written authorization upon arrival.
5. Persons who have late check-out with prior written approval will be charged $35/person/night for each night you or your belongings
occupy your room after the official Check-Out date. The nightly fee may be waived for residents who must stay on campus to assist in an
official capacity.
6. If you are a resident staying late to assist in an official capacity, you are expected to act in a responsible and professional manner. If your
behavior falls below expectation, as determined by Housing or your group advisor, you may be relieved of your responsibilities and be
assessed a charge of $125/person/night (approximately the cost of a local hotel room per night) and be subject to additional disciplinary
action.
7. Persons who stay late without prior written approval and are subsequently granted late departure will be assessed a charge of
$125/person/night (approximately the cost of a local hotel room per night).
8. Preparation work for the next term in your room/apartment will need to be completed and university staff may enter to complete the work
without prior notification. Your expectation to privacy is greatly diminished past your official check-out date [24 hours after your last final
exam]. Maintenance work may continue in an adjacent space to your room/apartment/building 24 hours a day, therefore, you should have
no expectation of quiet due to cleaning, maintenance, or other preparations.
9. If you lock yourself out of your room/apartment/building, please recognize that there may be a substantial delay in a response. Staffing will
be minimal after normal check-out dates.
10. You are not permitted to allow anyone (roommate/apartment-mates/suitemate, friends, other building occupants, etc.) access to the
room/apartment/building without escort. You are not permitted to entertain guests in your room/apartment/building during the late
departure period.
11. If you allow anyone else to access the room/apartment/building for the purpose of storing their belongings or staying overnight without the
express written authorization of Housing and Residence Life, you and the student will be assessed a fine of $500 in addition to a
$125/person/night late check-out fee. In addition, you may have to go through the University Conduct Process.
12. The terms of the Housing Agreement and the provisions of the Resident Handbook and Redhawk Commitment will be in full
effect. In addition to other disciplinary sanctions, violators may be subject to a penalty of $125/person/night (approximately the cost of a
local hotel room per night).
I have read and understand the conditions of this agreement (Pages 1 and 2).
_____________________________________________________________ __________________________________________
Student Signature
Date
For Office Use Only
(circle one): APPROVED / DENIED By (signature):
Number of nights Rate Total
Form processing fee (late submission only) N/A $ 25/form
Late check-out rate with prior approval
$ 35/person/night
Late check-out rate without prior approval
$ 125/person/night
Unauthorized Access Charge
$ 125/person/night
Other fees/fines
Total Assessed to Student’s Account

SEATTLE UNIVERSITY/HOUSING AND RESIDENCE LIFE
901 12th Avenue P.O. Box 222000 Seattle, WA 98122-1090 www.seattleu.edu/student/housing
Tel.: (206) 296-6305 Fax: (206) 296-2212 Email: housing@seattleu.edu
Late Check-out Waiver and Release
The undersigned student has requested that Seattle University allow him/her to stay in the Seattle University
residence halls after established check-out dates. The undersigned acknowledges that the University has
advised the student that the University does not have its normal staff available during this period of occupancy.
As a result, there may be times during which University personnel are not available to respond to needs of late
departure. The student understands that normal academic year services will be limited or not available at all
during this time. In addition, security personnel are not making normal rounds during this time, and security
services will be limited.
Therefore, in consideration of the student’s request for late check-out, the undersigned student hereby releases
Seattle University, its agents of employees, from all liability, cost, damage, claim and expense which arises out of
or relates to the undersigned/s presence at Seattle University during the late occupancy period. The undersigned
hereby acknowledges that s/he assumes full risk of injury, loss or damage that may result from late occupancy
and hereby waives any claim against Seattle University, its agents or employees, arising therefrom. This waiver
and release is intended to include, without limitation, all claims resulting from accident, illness, injury, theft, or
assault. It is also understood and agreed that the undersigned executes this release with the intent of binding
him/herself and all heirs, successors or assigns.
Students who check out of the halls late are encouraged to take extra safety precautions and to arrange their own
assistance and security measures. Seattle University Safety and Security can be reached in the case of emergency
at 206-296-5990, but may not be able to respond as promptly as necessary during times of late occupancy.