Substance-Free Housing Application — Chase House

Part of the second floor and the entire third floor of Chase house will be dedicated to substance-free living under the policies listed below.

Completing this form indicates that living in a substance-free environment is a top priority for you. See contract link for policies.

The information provided on this form will remain confidential, although a list of eligible names will be available to staff overseeing the floor when there are vacancies.

Name
Class year
ID #

Please answer the following questions and feel free to attach additional information as needed.

What is your definition of "substance-free"?

Explain your motivation to live in an environment that is free of drugs and alcohol.

What expectations might you have of yourself and of others who also live in such an environment?

If you are selected to reside on the Chase House substance-free floor, you will be required to sign a contract.

Selection Criteria

Applicants will be selected to participate in the Substance-Free Special Housing based on completing the substance free housing application, the desire to live substance free as stated in their essay, and stated commitment to being part of this community.

Applicants will be reviewed by the director of Residence Life, the assistant director of Residence Life, the Wellness coordinator and the Student Housing Committee chair from HPA.