Early Arrival Request Form
Office of Residence Life
4201 Henry Avenue
Philadelphia, Pennsylvania 19144
215-951-2741

Students will be billed the University daily rate of $60/day. Charges will be billed to the student's account.
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Which term are you requesting to arrive early *
Last Name *
First Name *
Student ID Number *
Campus Key (dont know your campus key? call the help desk at 215-951-4648) *
Permanent Address *
City *
State/Country *
Zip Code *
Date of Birth *
Class Standing *
University Email Address *
Campus Address *
Room Number *
You must include your bedroom if living in IP, or Townhouses.  For example, IP Madison C2 MS.  
Cell Phone Number *
Reason for Request
Primary Reason for Request *
Athletic Team
If you are requesting early arrival for athletics, please specify which team.
Department
If you are requesting early arrival for employment by the University, please specify which department and who is your supervisor.
Date Requested for Arrival *
Please note that early arrivals for Fall Semester are not permitted prior to August 19, 2019.
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