HBBC

Heartland Baptist Bible College

Summer/ Next Semester Plans

All Students (on and off campus) should complete the following form as we prepare for the summer break and the fall semester.

If you indicate below that you plan to stay in the residence halls at any time during the summer break, you will be asked to complete pages 2-4 of this form, requesting permission to stay on-campus during the break.

First Name *

Last Name *

Email *

What residence hall do you currently live in? *

Do you plan to return as a student next semester? *

Please let us know your reason(s) for not returning (if applicable).

Please let us know what factors cause you to remain undecided (if applicable).

Please indicate your plans for this summer and a general location where you'll be at. (i.e. if you'll be serving an internship at a church or working at a camp, please indicate which church or camp and a city/state, etc.) *

Do you plan to stay in the residence halls at any time during the summer break? (May 15 - August 15) *

No, I will not be staying on-campus

Yes, I would like to request to stay on-campus

The following terms must be agreed upon for your on-campus housing request to be considered. Please read each section carefully and indicate your agreement prior to proceeding to the next page.

I plan to return as a student for the fall semester. *

I agree to abide by all Heartland rules and standards during the break. *

I understand that this on-campus housing request is due before April 18, 2025, and agree to pay a $70 late fee if submitting this request after April 18. *

When do you plan to stay on campus during the summer? (Please indicate all nights you will be on-campus between May 15, 2025 and August 15, 2025) *

Please attach your parent permission letter here.

All students under the age of 21 must have a signed parent or guardian permission letter on file before being considered for approval to stay on campus during the summer. The permission letter should be attached below, or sent by email to: [email protected].

How do you plan to get the above-mentioned permission letter to the Dean of Students' Office?

Birthday *

Approximate Work Schedule *

Why are you requesting to stay on campus during the summer break? *

Your Employer *

Phone number *

Does your schedule change weekly? *

Do you have a vehicle? *

If I am under the age of 21, I will submit a signed parental permission letter, as part of this request to stay on-campus *

Agree

Disagree

I am 21 years old or above

I agree to abide by all the requirements of on-campus students during the summer, and understand that failure to abide by the requirements may result in termination of permission granted to stay on-campus during the break. By typing my initials below, I am indicating my agreement.

Make sure you click "Submit" to send this form to the Dean of Students' Office. Please look over your confirmation email to ensure everything is correct. If you need to make any changes you can send an email to [email protected].

4700 NW 10th St, Oklahoma City, OK 73127 | (405) 943-9330