Professional class ID number
Live in a building
Contact telephone number and dormitory number
Parents' names, contact numbers, talking time and opinions (to be filled in by the class teacher or counselor)
Home detailed address
Reasons for application
Date of residence: MM DD YY to MM DD YY.
During the applicant's safety commitment stay, I promise that:
1, strictly abide by national laws and regulations, abide by social ethics, and do not engage in any illegal, unhealthy and uncivilized activities;
2, strictly abide by the school "student apartment management regulations" and other school rules, school discipline, safe use of electricity, no open flame, pay attention to saving; Abide by the schedule of students' dormitory, identify yourself when entering and leaving the dormitory, register well, do not bring outsiders into the dormitory and stay overnight at will, and consciously obey the management of school staff; Consciously maintain campus order, take good care of public property and other people's belongings, keep the dormitory clean and tidy, and properly keep personal finances;
3. Cherish life and health, pay attention to the safety of entertainment, travel, diet, etc., and report to the school affairs department, security department, class teacher or counselor, department leaders and/or public security organs in time in case of emergencies;
4. I can apply to the school affairs office for changing the accommodation time or canceling this application at least one day in advance, and I am responsible for promptly notifying the class teacher or counselor; If you need to leave school temporarily for more than one day, you can submit a leave note to the dormitory administrator, indicating the place, time and contact number of going out, and I am responsible for informing the class teacher or counselor;
5. I have carefully read and voluntarily abide by the above regulations, and I am willing to bear the corresponding responsibilities if any adverse consequences or influences are caused by violating the above regulations.
Commitment: Year Month Day
Name and telephone number of the class teacher or counselor.
Opinions of the class teacher or counselor
Name seal:
date month year
Department opinion, school affairs office opinion
(official seal) (official seal)
Year, month, sun, moon, sun.
Note: 1. The school's winter and summer vacations are the time for students to adjust and relax their study life, and also the time for the school to repair and maintain various facilities and equipment. In principle,
Students are not arranged to stay at school.
2. Students who have to live on campus for personal reasons must fill in and submit this application approval form within two weeks before the official holiday. Since the official start of the holiday, it will no longer be accepted.
New application.
3. Cancel the approved applicants and have no right to submit new residence applications during the holidays; Those who leave school without filing during their stay shall be deemed to have revoked this application.
Please ask the original applicant to automatically lose the qualification of resident students during this holiday.
4. This application approval form is made in duplicate, one for the school affairs office and one for the class teacher or counselor to file. The Wei 'an Committee members of each class and the Wei 'an Department of each department are responsible for issuing this form.
Publishing, summarizing and archiving within the department; The departmental housekeeping department is responsible for completing the examination and approval procedures of departments and schools.
5. The class teacher or counselor should be responsible for the education and management of students during their residence, carefully examine and strictly control, and fully grasp the liveliness of residence.
State, to ensure the safety of students, to ensure smooth communication with students themselves and their parents, school leaders and relevant departments.