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Campus > Housing Office > Housing forms > College to College Move Request
Fall 2012-Spring 2013 Housing Rates: Lee Clark & James H. Richmond Double Room Rate - $2,596 per semester Elizabeth Double Room Rate - $2,306 per semester Hart, Hester, Regents & White Double Room Rate - $2,056 per semester Franklin, Springer & Richmond Hall Double Room Rate - $1,903 per semester Last Name* First Name* Middle Initial M# * Present Residence Hall* Present Room #* Email* Cell Phone* Please provide a brief explanation for your request* Semester Spring 2013 Requested Residence Hall: (check all that apply) Lee Clark (10-Month Facility) (Premium Housing Rate) Elizabeth Franklin Hart Hester Regents (10-Month Facility) James H. Richmond (Premium Housing Rate) Springer (Females Only) White (10-Month Facility) Room # (ONLY complete if requesting a specific room) Floor # (ONLY complete if requesting a specific floor) "I'm requesting a specific roommate." Specific roommate requests MUST be mutual. Each roommate MUST individually submit this form. Roommate's Last Name Roommate's First Name Roommate's M# "I am willing to relocate to an empty room in my college." (ONLY check this box if there is no available space in your present room, but you are willing to relocate to an empty room to accommodate this request). "I'm requesting a different college with a new roommate." (Only check this box if you DO NOT have a specific roommate in mind. Your reassignment will be made at the discretion of the Housing Office.) #1 - Suitemate's Last Name #1 - Suitemate's First Name #1 - Suitemate's M# #2 - Suitemate's Last Name #2 - Suitemate's First Name #2 - Suitemate's M# #3 - Suitemate's Last Name #3 - Suitemate's First Name #3 - Suitemate's M# a non-smoking roommate a quiet floor an American roommate an International roommate Please check all countries of interest: N/A China Korea Japan Belize Arabic speaking country FormBuilder contact form by Basem Emara
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Campus > Housing Office > Housing forms > College to College Move Request