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Campus > Housing Office > Housing forms > In-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 #* E-mail* Cell Phone #* Semester Spring 2013 Please provide a brief explanation for your request* "I'm requesting a specific roommate." Specific roommate requests must be mutual. Each roommate must submit this form individually. Roommate's Last Name Roommate's First Name Roommate's M# Room # (ONLY complete if requesting a specific room) Floor # (ONLY complete if requesting a specific floor) "I'm requesting 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.) Room # (ONLY complete if requesting a specific room) Floor # (ONLY complete if requesting a specific floor) #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 > In-College Move Request