Name* First Last Student ID #Cancelling room for (for example, if you will be living on campus through the end of the spring 2014 semester, you will be cancelling for the fall 2014 semester):*Fall 2015Spring 2016Fall 2016Spring 2017Reason for Cancellation:*GraduatingTransferringWithdrawingGetting MarriedActive Military DutyLiving in an off campus apartmentCommuting from homeMedical ReasonsPersonal ReasonsOther ReasonsIf Transferring, to which college/university:Reason for transfer or moving off campus (i.e. major of study, cost, closer to home, etc.):*All requests must be received before the given deadlines in order to receive a refund of the $100 damage deposit. When cancelling for the fall semester, the deadline is June 30th; for the spring semester the deadline is December 15th. PhoneThis field is for validation purposes and should be left unchanged.