ࡱ> XZW'` 6.bjbjLULU u>.?.?!$(DP\@4l 6XXXX"x36565656565656$9hj;Y6Q!!!Y6XX46!XX36!36~094Xt [_#135t6063;M^;04;4L6,4Y6Y66!!!!l l l p$l l l p $ KEARNEY AGRICULRTURAL RESEARCH & EXTENSION CENTER DORMITORY REQUEST, APPROVAL, AND REGISTRATION Rate = $18 per night Request and approval section, to be filled out prior to occupant arrival: Sponsor (Faculty): FORMTEXT       Request Date: FORMTEXT       Phone: FORMTEXT       Cell: FORMTEXT       Email:  FORMTEXT       Occupant s Name: FORMTEXT       Sex: Male  FORMCHECKBOX  Female  FORMCHECKBOX  Planned Occupancy: Check in date:  FORMTEXT       Check out date:  FORMTEXT       Reservation Type: Continuous stay  FORMCHECKBOX  Intermittent pattern: Daily  FORMCHECKBOX  Weekly  FORMCHECKBOX  Monthly  FORMCHECKBOX  (If intermittent, you may keep your keys until the season is finished.) Sponsor Account #:  FORMTEXT       Or Occupant will Pay  FORMCHECKBOX  Special Requests: FORMTEXT       By requesting dorm space, the Sponsor agrees to be responsible for the actions of the occupant. Occupants not abiding by the KARE dormitory rules, regulations, guidelines and policies will be asked to leave. A Sponsor emailing this as an attachment serves as an electronic signature. Approved By: FORMTEXT       Date: FORMTEXT       Note: KARE approval must be obtained before allowing dorm* 乫}hPG<hJ}h>~OJQJhC'OJQJ\.jhJ}h>~>*OJQJU\mHnHu)jhJ}h3<>*OJQJU\hJ}h>~>*OJQJ\#jhJ}h>~>*OJQJU\hJ}h>~5OJQJ\h ,h ,5OJQJ\ha5CJOJQJ\aJh8h85OJQJ\h8hY5OJQJ\h ,hY5OJQJ\h ,hm=5OJQJ\d  j wT" 5p@ *P  !$gdBi! 2p@ P !/#$gdBi ,p@ P !$gdBi! 2(p@ P !,"$gdBi ) p@ P !$dh@&gda $@&a$gd9  -4.    4 6 8 B D P R f h j t v ﮉ}iSH}hJ}hJ}OJQJ+jhJ}hJ}>*OJQJUmHnHu&j\hJ}h3<>*OJQJUhJ}hJ}>*OJQJ jhJ}hJ}>*OJQJU&jhJ}h3<>*OJQJUhJ}h>~OJQJ+jhJ}h>~>*OJQJUmHnHu&jthJ}h3<>*OJQJUhJ}h>~>*OJQJ jhJ}h>~>*OJQJU   , . 0 D F b d f ۺۣۇxfxxTxLhJ}OJQJ#j,hJ}h3<OJQJU#jhJ}h3<OJQJUjhJ}hJ}OJQJUhC'OJQJ&jDhJ}h3<>*OJQJUhJ}hJ}>*OJQJhJ}hJ}OJQJhJ}h>~OJQJ+jhJ}hJ}>*OJQJUmHnHu jhJ}hJ}>*OJQJU&jhJ}h3<>*OJQJU      @ X b d f 򷯷򏷇sasYMjh!OJQJUhCOJQJ#jhJ}h3<OJQJUjhJ}OJQJUh!OJQJhJ}OJQJhJ}h>~>*OJQJ&jhJ}h3<>*OJQJUhC'OJQJhJ}h>~OJQJ%jhJ}>*OJQJUmHnHu&jhJ}h3<>*OJQJUhJ}>*OJQJjhJ}>*OJQJU    2 4 P R T (*,68:dfٵ٪ٜldR᪜#jh!h3<OJQJUhC'OJQJ%jh!>*OJQJUmHnHu&jXh!h3<>*OJQJUh!>*OJQJjh!>*OJQJUhJ}h>~OJQJ#jh!h3<OJQJU#jph!h3<OJQJUh!OJQJjh!OJQJU#jh!h3<OJQJU V ztW ) p@ P !$Pgda$ ) p@ P !$Pa$gda ,p@ P !$gdBi" 5p@ P !#$-(gdBi* Dp@ 0*IP !!$$&gdBi"z,.BDFPRV^vmYvFv>hC'OJQJ%jha>*OJQJUmHnHu&jhah3<>*OJQJUha>*OJQJjha>*OJQJUhahaCJOJQJaJh!h>~5OJQJ *h!h!5OJQJh lOJQJh ,hm=OJQJh ,h>~OJQJ%jh!>*OJQJUmHnHujh!>*OJQJU&j@h!h3<>*OJQJUz()c7, Dp@ Hh8P x!!H$$']gda!$ ) p@ P !$^a$gda ) p@ P !$^gdJ} ) p@ P !$gda ) p@ P !$^gda ) p@ P !$P^gda^`bvxz():)f)))))))ꮟyn`NB9hOJQJ\hahm=OJQJ\"h0Fh0F5CJOJQJ\aJh ,hYk5OJQJ\ha5OJQJ\h ,h ,5OJQJ\Uh ,hYkOJQJh ,hm=OJQJhfhfCJOJQJaJh3<h>~>*OJQJ%jh3<>*OJQJUmHnHu&j,h3<h3<>*OJQJUh3<>*OJQJjh3<>*OJQJUhaOJQJ occupancy. ------------------------------------------------------------------------------------------------------------------------- Registration section; Occupant information; can be filled out when the occupant arrives: Occupant s name:  FORMTEXT       Phone:  FORMTEXT       Cell:  FORMTEXT       Email:  FORMTEXT       Address:  FORMTEXT       In case of emergency, please notify: Name:  FORMTEXT       Cell:  FORMTEXT       email:  FORMTEXT       By registering for dorm space, the occupant agrees to read and abide by all KARE dormitory rules, regulations, guidelines and policies. 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