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FRM_STUDEAN15_EN

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Application to rent committee

 

Dear dormitory resident,

To allow the committee to consider your application, please fill in the following form and enclose substantiating documents.

Please read and follow these guidelines:

  1. The committee only considers special case applications!
  2. Applications are considered by a committee whose members include representatives of the Student Association, the Dean of Students, the dormitory administration.
  3. The committee is authorized to verify the information you provide.
  4. It is best to contact the dormitory on the requested date even if you have not yet received an answer from the committee.
  5. Please include suitable substantiating documents and certificates with your application form. Applications lacking substantiating documents will not be considered.
  6. The Committee's decision is sent to you by email.
  7. Please submit your application to the committee at least one month in advance. The committee convenes once a month.
  8. Appeals:
    1. Appeals may be submitted up to one month from the date you receive the committee's decision.
    2. You may appeal the committee decision by writing to the Director of the Dormitories, Mr. Adrian Kramer adriank@savion.huji.ac.il.
    3. Hebrew University students may appeal one final time in writing to the Hebrew University Dean of Students, Prof. Guy Harpaz revitalha@savion.huji.ac.il[E.H.1] 

Please send your questions and inquiries to Adi Mizrahi adimizrahi1@savion.huji.ac.il


Form for application to rent committee
Last Name:First Name:
ID number:

Mobile number:Other phone number:
E-Mail:

Institute of study:
School/faculty:


I wish to leave on: (This date is binding, even if the committee does not convene before this date or if you do not receive its decision before then)Dormitory:
(DD/MM/YYYY)
Reason of Request:
Academic
Economic:
Medical:
Other:

Description of Request:


I hereby acknowledge that I have read the terms written above

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