Rensselaer Student Dining Plan Agreement Form 2012-2013

Rensselaer Auxiliary Services

Please note that this form is for upper-class students. It is not to be used by first-year students (freshmen).

* Date:
* Class year: (select one)	Please select: 2016 2015 2014 2013 Graduate
* Last name:
* First name:
Middle initial, if applicable:
* Rensselaer ID Number (RIN):
* E-mail address:
* Campus address:
* Contact phone number:
2012-2013 dining plan request Please indicate your choice of a dining plan for the 2012-2013 academic year. Note: Dining plan terms and conditions are listed at the bottom of this agreement. BARH and sophomore residents are required to participate in a dining plan.
* Please select your desired dining plan:	I will participate in the 23 ON DEMAND plan at the cost of $5,430 (23 anytime meals each week, plus $150 Flex Dollars per year) I will participate in the 19 ON DEMAND plan at the cost of $5,350 (19 anytime meals each week, plus $250 Flex Dollars per year) I will participate in the 15 ON DEMAND plan at the cost of $5,260 (15 anytime meals each week, plus $500 Flex Dollars per year) I will participate in the 10 ON DEMAND plan at the cost of $4,570 (10 anytime meals each week, plus $900 Flex Dollars per year) I will participate in the BLOCK PLAN at the cost of $4,140. (250 anytime meals for the year, plus $1,200 Flex Dollars for the year) The Block Plan is only available to students living in an approved Greek Residence Commons, and to juniors and seniors living on or off campus.

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Terms and conditions of this agreement

All Rensselaer policies and procedures, existing and as changed from time to time, contained in the current Rensselaer Catalog, and other Rensselaer and Student Life publications, including the 2012-2013 price list, are part of this agreement and must be read by all students.

Dining plan terms and conditions

Meals are not served when Rensselaer is not in session, including Thanksgiving, Winter, and Spring recesses. Certain dining facilities may be closed during specified periods of the academic year. Between 11:00am and 2:00pm, the Russell Sage Dining Hall is restricted to only Quad, E-Complex, North, BARH, RAHP, Stacwyck, Colonie, and Blitman Commons residents, as well as Polytech Apartments residents. Flex Dollars are allotted by semester and carry over from fall to spring, but end on the last day of the academic calendar and are forfeited thereafter.

• Dining plans are not transferable.
• Dining plans are for the entire academic year.
• Students may not take food out of a contract dining hall, except under conditions specified by the dining hall management.
• Students may sign up for dining plans at any time. Changed will be pro-rated on a weekly basis.
• Daily operating hours vary by dining hall location.
• All sophomores, as well as BARH and Blitman residents, are required to participate in a dining plan.

Dining plan cancellations

Cancellations to the dining plan agreement are very limited and are subject to all of the following:

• There is no penalty for written cancellations delivered to Auxiliary Services before August 27, 2012.
• After August 27, 2012, students cannot cancel their dining agreements for the remainder of the academic year.

Changes in dining plans

Students may increase or decrease the size of their dining plan up until the first Friday after the day classes begin for a particular semester. After this date, only increases will be allowed. Cancellation does not constitute a change.

Refund schedule

The following table shows the refunds of dining plan charges for students who withdraw from Rensselaer or take a leave of absence prior to the completion of an academic term.

Number of weeks in residence	% charged per semester	% refunded per semester
Less than one week	0%	100%
Less than two weeks	10%	90%
Less than three weeks	20%	80%
Less than four weeks	30%	70%
Less than six weeks	40%	60%
Less than seven weeks	50%	50%
Less than nine weeks	60%	40%
More than nine weeks	100%	0%

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