REQUEST FOR EXTENDED STAY
You will be notified via email within 24 hours when/if your request has been approved. PLEASE DO NOT SUBMIT THIS FORM MORE THAN ONCE! Incomplete forms will be returned.
First Name / Last Name
Cell Phone No.
Building (NOT Ritchie)
Bulger Residence Hall
Exchange Street Residence Hall
Grant Residence Center
Quaker Square Residence Hall
Sisler-McFawn Residence Hall
Spanton Residence Hall
Spicer Residence Hall
Requesting to stay until:
Tuesday, May 14 @ 5pm
Reason for Request
Saturday Exam (will be verified)
Involved in Graduation Ceremonies (will be verified)
Summer Student (will be verified)
Athlete (what sport?) (will be verified) ______________________________________________________________________________________________
Travel Arrangments (be specific) _________________________________________________________________________________________________
International Exchange Student (will be verified)
USER AGREEMENT: By checking this box, I understand I DO NOT HAVE PERMISSION to stay until I receive a confirmation email from Residence Life & Housing.
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