Housing Petition

Name*
First Last
Student ID*
Email*
Phone
Are you an International Student?
Do you have an F1 Visa?
Do you have a roommate (not spouse)?
Roommate name(s)
All petition requests may be subject to additional charges depending upon the nature of the request (i.e., Campus Service Fee or a 25 percent rental surcharge or both).
Affected Semester and Year
I am requesting permission to
- Remain in my housing unit without being enrolled for one semester
- Remain in my housing unit while being enrolled in less than the minimum required hours for one semester
- Remain in my housing unit beyond the normal fourteen (14) days following graduation
- Remain in my housing unit until (date) because my spouse is a teacher in a local school and this will allow him/her to complete the school year.
- Remain in my housing unit until (date) because my children are still in school and this will allow them to finish the school year
- Remain in my housing unit until (date) which will give me time to complete my mission appointment process. (Please provide a copy of a letter from IMB or NAMB that indicates where you are in the appointment process and the date in which you are expected to complete the process.)
- Other
How many hours do you want to take?
Desired move out date
MM slash DD slash YYYY
Please indicate date
MM slash DD slash YYYY
Please provide a copy of a letter from IMB or NAMB that indicates where you are in the appointment process and the date in which you are expected to complete the process
Max. file size: 20 MB.
Reason for request