2017-2018 Off Campus Exemption Application
Submit the request form and all documentation to the Assistant Director of Residential Life and Education located in Perry Campus Center or via email to doanehousing@doane.edu
Exemption decisions will be made by the Assistant Director of Residential Life and Education; a minimum of ten (10) business days is required to process all requests.
Exemption decisions will be sent to the student's official University e-mail address.
All decisions made will be based upon the documentation provided by the student.
It is very important that the exemption request contains as much information as possible to ensure an expeditious evaluation process.
Incomplete requests will not be reviewed. Submission of this form is not grounds for automatic approval. ALL APPLICATION MATERIALS ARE DUE BY MARCH 17, 2017 AT 5PM. LATE APPLICATIONS WILL NOT BE REVIEWED.
Email address
FIRST NAME
LAST NAME
DATE OF BIRTH
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PRIMARY PHONE NUMBER
CLASS STANDING
Required
EXCEPTION CRITERA
Please select the one exception you are applying for to live off campus.
Please check all of the following statements confirming you understand the off campus application process.
Required
Expected Off Campus Address
Request for Appeals/Reconsideration
Students may request reconsideration of an exemption decision within five (5) business days after receiving notification of the decision. All requests for reconsideration of an exemption decision must be submitted in writing to the Director of Residential Life and Education. Such special cases will be reviewed individually by the Vice President for Student Affairs/Dean of Students (additional supporting documentation is highly recommended).
Required
By entering my name below, I certify that all information provided in this application is accurate and true to the best of my knowledge.
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