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University Housing Application Cancellation
This form is to request cancellation of the housing application only if payment has been submitted. Applications not completed by payment should be cancelled through the online application portal.

Per the Terms and Conditions of the Housing Agreement, cancellation requests received after May 15th for the Summer, June 15th for the Academic Year and November 15th for the Spring will not be eligible for a credit of the $300 prepayment ($100 processing fee, and $50 late fee if applicable are both non-refundable).

Email address *
Please allow up to 7 business days for processing.
Student Name *
Your answer
ID Number (W Number - without the W) *
Your answer
Please click the checkbox below to indicate which term you are requesting to cancel: *
Required
Reason for request: *
Acknowledgement: *
Required
You may only submit this form once. Please verify your information is correct, then click Yes below. You will receive an email confirmation once your responses is recorded, if you do not receive an email confirmation please contact University Housing. *
Required
A copy of your responses will be emailed to the address you provided.
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