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CBU Overnight Checkout
For Nights and Weekends away from the dorm, students are expected to complete this checkout form.
* Indicates required question
Email
*
Record my email address with my response
Resident's Full Name.
*
Your answer
Phone Number (where you can be reached)
*
Your answer
Gender of student
*
Female
Male
Dorm and room number.
*
Your answer
Date leaving dorm
*
MM
/
DD
/
YYYY
Approximate Time of Departure
*
Time
:
AM
PM
Anticipated Return to Dorm
*
Your answer
Anticipated Time of Return
Time
:
AM
PM
Destination
*
Your answer
RA has been contacted?
*
Yes
No
Have you informed your roommate that you will be away?
*
Yes
No
Additional Comments:
*
Your answer
Send me a copy of my responses.
Submit
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