off campus form

This form should be used by students that will live off-campus for one of the approved reasons listed in the Fall Life Student Handbook. This form is not a petition, and should not be used by any student seeking to live off-campus for any reason other than those listed below. This form will be emailed to the Office of Student Affairs for final approval. Students will be notified via email regarding their approval. If no email is provided on the form, a memo will be sent to the student’s TFC post office box. Keep in mind that off-campus students are not covered by the resident student health insurance plan. Off-campus students may, however, purchase health insurance from the Office of Health Services.

PERSONAL INFORMATION I will live off-campus while a student at Toccoa Falls College for: Fall 2007 Spring 2008 Fall 2008 Student ID #: First Name:      Middle Initial:  A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. T. U. V. W. X. Y. Z.      Last Name:  Gender: Male Female Class: Freshman Sophomore Junior Senior Email: TFC PO Box: Date of Birth 01 02 03 04 05 06 07 08 09 10 11 12 mm/ 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 dd/  yyyy Grad date CURRENT HOUSING INFORMATION Address/Residence: City:    State/Province:  AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AB BC ON    Zip/Postal Code:    Phone: () - OFF-CAMPUS HOUSING INFORMATION I will live off-campus while a student at Toccoa Falls College at the following: Address/Residence: City:    State/Province:  AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AB BC ON    Zip/Postal Code:    Phone: () - OFF-CAMPUS HOUSING RATIONALE Please check the appropriate box for living off-campus and follow any instructions noted. Letters of approval from Paradise Mountain, TFC employees, family members, or recipients of care should confirm the living arrangements for the semester in question, including move-in date, address of the residence, and names of others living in the residence. Letters and schedules should be sent to the Office of Student Affairs to be filed with this form. Married, name of spouse: 22 or older by the end of the semester in question > 8 semesters in college (send unofficial TFC transcript, you can print this from Campus Connect) Student teaching (send class schedule, to be verified at check-in) < 6 credit hours (send class schedule, to be verified at check-in) Paradise Mountain Residence (send letter of approval from Paradise Director) Living with approved TFC employee. Name of TFC employee:   (send letter from TFC employee with signature of approval from the VP for Student Affairs) Living with approved family member   (send letter from family member with signature of approval from the VP for Student Affairs) Approved caregiver   (send letter from recipient of care with signature of approval from the VP for Student Affairs) Established local residency for more than 12 months while not enrolled at TFC     Note: If none of the above apply and you desire to petition to live off-campus, request an Off-Campus Petition from the Office of Student Affairs. Please note that financial reasons are not sufficient rational to have the petition approved.     Yes   No I certify that the information provided is complete and accurate. I understand that it is my responsibility to inform the Office of Student Affairs and the Office of Student Accounts of any changes in my off-campus living situation by submitting an updated Off-Campus Form. Yes   No I understand that off-campus students are not covered by the resident student health insurance plan. Off-campus students may, however, purchase health insurance from the Office of Health Services.