Application for Asbell Center Access Privileges

Name: ____________________________________ Class: _________

Hub Box #: ___________________ Ext.: ______________

Email Address: _______________________________________________

I am applying for access privileges to the Asbell Center . I understand and agree to the following:

•  Only dairy and vegetarian food may be brought into the center.
•  Students will clean up after themselves. Any furniture that is moved around must be restored to its original place.
•  Food in the refrigerators is off limits.
•  The Director and Program Assistant's offices are off limits.
•  Business machines are not available for personal use.
•  Sexual activity, public drunkenness and offensive language are not permitted.

Violations of the above may result in suspension or permanent revocation of access privileges.

Under no circumstances are the following permitted:

•  Carrying or consuming alcohol
•  Possession, use or sale of illegal drugs
•  Smoking
•  Stealing or unauthorized use of supplies
•  Vandalism or intentional damage
•  Physical, emotional or spiritual violence carried out on any person
•  Possession, use or sale of firearms or weapons

I have read the Asbell Center Access Policy and agree to abide by its provisions. I understand that violations of these rules may result in loss of access to the center as well as referral to Campus Safety and possible judicial charges.

Student Signature: ________________________________ Date: ____________

Approvals:

______________________________________
Asbell Center Director

______________________________________
Religious Life and Community Services Director

 

Revised 09/04