New Winter Housing Assignment
Returning Students

This form is a request form and does not guarantee that you will receive a new housing assignment.

First Name:
Last Name:
Preferred/Nickname:
Email:
Please know that your school email is where all correspondence will be sent to you approving or denying your request. Please check your school email.
This is where you are living now. Current Housing Assignment:
Room Number:
West Center East
Single Double Triple
Who is your current Roommate?

In the past this form has been filled out on paper. It is a requirement that you speak with your current roommate about your request for a new housing assignment. Those living on Freshman floors may only request moves on their current floor.

I have spoken with my roommate about requesting another housing assignment and they are aware I may be moving should I be approved for a new housing assignment.
Yes No
Where would you like to live? (First Choice) Preferred Assignment:
West Center East
Single Double
Whom would you like to live with?
comment:

Where would you like to live? (Second Choice)
West Center East
Single Double
Whom would you like to live with?
Comments:

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New Winter Housing AssignmentReturning Students