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Housing Exemption Application

Complete and submit the form below to apply for on-campus housing exemption.

All first-year and second-year full-time students who are under the age of 21, do not live with a parent or guardian, are not married, or do not have children are required to live on campus. If you will not be living on campus because you qualify for an exemption, you are required to submit this Housing Exemption Form.

Please complete and submit the form below to apply for on-campus housing. 

I hereby request the requirement that I live on campus be waived due to the following circumstance(s). 
 
Check one or more: 
  (Please forward us a copy of your birth certificate or drivers license)
  
  
  
 

Personal Information

 
First Name
 
  
Last Name   
Street Address   
City   
State   
Zip Code   
Phone   
Email