Room Change Request for Resident Life

Room changes are decided by the Residence Director and Vice President for Student Life. Complete this form to submit your request. You will be notified of approval within a few days of submission.

"*" indicates required fields

Student Name*

First Middle Last

Student ID Number*

Please provide your signature by typing your full name here:*

Current Date*

Current Room Assignment

Current Residence Hall*

Current Room Number*

Reason for request*

Private Room Request

Check If you need a private room

I am requesting a private room. I understand that there is an additional charge for a private room.

Desired Room Assignment

New Residence Hall

New Room Number

Desired Date of Move

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