Room Cancellation Form

First Name:
Last Name:

Student ID #:

Cancelling room for (for example, if you will be living on campus through the end of the spring 2013 semester, you will be cancelling for the fall 2014 semester):

Reason for Cancellation:
Other Reasons:

If Transferring, to which college/university:
Reason for transfer (i.e. major of study, cost, closer to home, etc.):

Reason for commuting or moving off campus:

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.