Housing Break Request

SIGN UP FOR Fall BREAK HOUSING

The residence halls will close for Fall Break on Wednesday, October 4th at 5 pm until Sunday, October 8th at 12 pm. Residents who have a reason to reside on campus during this time frame should submit this form by Wednesday, October 4th at 5 pm. There is no cost for staying over break. If you only need to stay one or two days, please email our office let us know when you plan on leaving.

Only students who meet the following requirements may remain on campus during the break:

Student workers required to work any dates/times that the residence halls are closed
Out-of-state students
International students
Athletes (in season)
Students required to attend a class on any of the dates/times that the residence halls are closed

*Mandatory field

Residents Individual Information

*Student ID#:

*First Name:

*Last Name:

*Lewis Email:

*Phone:

*Break:

*Hall:

*Room #: (validate with the # on room door):

*Reason for staying over Break:

Additional Comments/Reasons (if "Other Reason" was selected):

*Security Password (Please type the word