Overnight Guest Registration Form

Guest Information

Guest's Name:
Guest's Date of Birth:
All overnight guests must be 18 years of age or older. No guests under the age of 18 may be in Nyweide-Scott Apartments between the hours of 10 p.m. and 8 a.m. NO exceptions.
Guest's Phone Number:
Guest's Arrival Date:
Guest's Departure Date:
Residents may have overnight guests visit a maximum of twice per academic semester for the duration of up to two consecutive days/nights per visit and only one guest at a time.

Emergency Contact Information

Guest's Emergency Contact Name:
Relationship to guest:
Emergency Contact Phone Number:

Vehicle Information

Make:
Model:
Color:
License Plate:

Host Information

Residents are responsible for making their guests adhere to, and be aware of, the terms and conditions contained in this Housing Contract governing the MCC Apartments. All guests must be with their host at all times. Residents shall be financially responsible for any damage done by their guests to the MCC Apartments and may be subject to disciplinary actions. Guests who plan to stay overnight must register with the MCC Apartments Residential Life Coordinator at least 24 hours in advance. The roommates of the resident must be notified of the overnight guests.

Residents may have overnight guests visit a maximum of twice per academic semester for the duration of up to two consecutive days/nights per visit and only one guest at a time. All overnight guests must be 18 years of age or older. No guests under the age of 18 may be in Nyweide-Scott Apartments between the hours of 10 p.m. and 8 a.m. NO exceptions.

Resident Name and Signature: Entering your name here counts as a signature
Room Number:
Phone Number:

Roommate Permission

It is highly recommended that you talk with your roommate(s) before having an overnight guest. Please complete this section to verify that you have consulted with your roommate(s) regarding overnight guests.

I understand that my roommate will be having a guest(s) staying in our room as noted on that arrival and departure dates listed above. I have been notified, in advance, of this overnight guest visitation and give my consent for the guest to staying our room. Should any concerns arise, I will contact the Residential Life Coordinator immediately.

Roommate Names and Permission:
By entering the names of your roommates below you are guaranteeing that you have notified roommates of overnight guest and they have approved.

It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code ~~216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. ~~ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. ~ 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. ~~ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. ~ 794), and Title II of the Americans with Disabilities Act (42 U.S.C. ~ 12101, et seq.).

If you have questions or complaints related to compliance with this policy, please contact EICC's Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-5222, equity@eicc.edu or the Director of the Office for Civil Rights U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204, Telephone: (312) 730-1560 Facsimile: (312) 730- 1576, TDD (800) 877-8339 Email: OCR.Chicago@ed.gov.