GAHEC ORPCE Student Housing Agreement

ATTENTION: Housing Coordinator
1200 North Elm Street, Greensboro, NC 27401
Phone: (336) 832-8566 FAX: (336) 832-2851

As part of the clinical rotation in the Greensboro AHEC region, state funding has been allocated to provide housing accommodations at various locations within the area. The housing is provided at a greatly subsidized cost to enrich your student experience during your clinical community-based curriculum as determined and controlled by the curriculum of your faculty and institution where you are enrolled. This housing is to support you in your training and encourage you to better understand the community where you are working as a potential future employment site upon your graduation. Provisions vary by location. For details, directions and community information visit our website www.gahec.org. During the rotation, it is the responsibility of the student to keep the housing in good order. The following guidelines must be understood and adhered to:

Please designate the beginning rotation date.
Please designate the ending rotation date.
Include your full name
During my stay:









Prior to Departure:



*PLEASE NOTE: Violation of any of the above may result in denial of future Greensboro AHEC Housing requests and forfeit of the $50 security deposit. I acknowledge that any broken rule dictates that I must vacate housing immediately. Course Coordinators will be notified of all infractions. I have read, understand and will comply with all of the above. Further, I understand that housing will not be provided unless I have signed this agreement.
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