Check Out Form

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Check Out Form

Please fill this form out when you are completely vacating a residence of NOBTS

Today's Date *

YYYY

Name *

Student ID Number *

Cell Phone Number *

Vacating Campus Address *

Email Address *

Forwarding Address *

Total number of keys returned *

Are you returning? *

yes

If you are returning, what date would you like to move back in?

Have you or your spouse ever been employed by NOBTS? *

Yes

By checking the box below, you are acknowledging that you have completely vacated your housing unit and have removed all trash and personal belongings. Failure to leave your housing unit in proper condition will result in the loss of the refundable portion of your housing deposit and possible additional charges as is stated in the Student Handbook *

Yes I agree to the above terms

Required

Is there anything you would like the housing office to know about the residence you are vacating?

Submit

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