General Exception Request Form

This form is for students seeking exception to the housing policy for an upcoming academic year. If the request is granted, it will be good for one academic year only. If you are required to live on campus after the upcoming year, you will need to submit subsequent requests until you are no longer required to live on campus.

This form is NOT for students currently living on campus that would like to request permission to break their student housing contract.

Contract Breakage Information can be found on our website.

Name Name First Last
Best Contact Number Best Contact Number - ### - ### ####
BearPass Number
Must be 9 characters. Currently Entered: 2 characters.
Date of Birth Date of Birth / MM / DD YYYY
MSU Provided Student Email Address
Reason for Your Request
Are you planning to enroll for Online Only Learning (no blended or seated course work)?

Are you planning to enroll for Online Only Learning (no blended or seated course work)? No Yes
Online Only Learning:
Acknowledgement:
Students wishing to take only online courses should meet with an academic advisor to identify courses that will have only online instruction. After submission of this request, the Housing Requirement hold will be lifted by staff in the Residence Life office, usually within 3 business days. University staff will verify students pursuing online only education are registered for only online courses (no blended or seated courses). Students granted an "online only" exception that are found to be registered for blended or seated courses will be charged the equivalent of room and board fees (this could be more than $5,500/semester).

Acknowledgement:
Students wishing to take only online courses should meet with an academic advisor to identify courses that will have only online instruction. After submission of this request, the Housing Requirement hold will be lifted by staff in the Residence Life office, usually within 3 business days. University staff will verify students pursuing online only education are registered for only online courses (no blended or seated courses). Students granted an "online only" exception that are found to be registered for blended or seated courses will be charged the equivalent of room and board fees (this could be more than $5,500/semester). I understand and agree to the statement above.
Semester of Registration
Are you a married student or a student with children?

Are you a married student or a student with children? No Yes
Required Marriage/Parenthood Documentation:
Upload a copy of your Marriage License or your child's Birth Certificate (jpeg or .pdf format)

Attach Files
Do you believe you have a medical need to live off campus?

Do you believe you have a medical need to live off campus? No Yes
Your Next Step in the Medical Request Process:
You will need to make contact with the Disability Resource Center (DRC) at 417-836-4192. The DRC will collect and evaluate medical information and make a recommendation to Residence Life regarding appropriate accommodations.

You will need to make contact with the Disability Resource Center (DRC) at 417-836-4192. The DRC will collect and evaluate medical information and make a recommendation to Residence Life regarding appropriate accommodations. I understand I must make contact with the DRC. I understand this exception request will not be evlauated if I do not engage with the DRC. I understand the DRC may not recommend off-campus living, but may recommend other accommodations that can be met through on-campus living.
Are you a domestic or an international student?

Are you a domestic or an international student? Domestic (Eligible for FAFSA) International
International Students

To be able to evaluate a student for Extreme Financial Need a student must have a FAFSA on file with the Office of Financial Aid. International students are not eligible for FAFSA as they must demonstrate an ability to afford the cost of attendance at MSU to secure a visa. On campus housing costs are included in the cost of attendance. You are not eligible for this type of exception requets.
Do you feel that you would not financially be able to attend Missouri State University if you were required to live on campus?

Do you feel that you would not financially be able to attend Missouri State University if you were required to live on campus? No, I would not be able to attend. Yes, I would be able to attend.
Do you have a completed FAFSA on file with the Financial Aid Office?
No FAFSA:

No FAFSA: I acknowledge that I must complete a FAFSA before my request can be considered.
Extreme Financial Need Required Information

You may wish to contact the Office of Financial Aid at 417-836-5262 to ensure you have exhausted all scholarship, grant, and loan opportunities.

Evaluation for extreme financial need is a multiple hurdle process.
Step One:
Residence Life will work with The Office of Financial Aid to obtain a picture of your unique financial profile to determine if you are in Extreme Financial Need; meaning you might not be able to attend Missouri State if required to live on campus. You must be shown to have extreme need in order to move forward in the process to step two.

Step Two:
If you have extreme need, as defined by Financial Aid, your access to aid will be evaluated. Your access to aid must be shown to be insufficient to meet your need in order to move forward in the process to step three.

Step Three:
If you have extreme need not met by your aid, your proposed alternative will be evaluated. Your proposed alternative must be more affordable than what could be provided to you on campus for you to move forward in the evaluation process. A more affordable alternative does not guarantee an exception will be granted.
FAFSA must be filed with Office of Financial Aid before a request can be considered.
Financial requests for Fall will begin to be considered in early June.
Financial requests for Spring will begin to be considered in mid-October.

In your supporting letter, include a budget to address off campus costs including:
• Monthly rent – verified by a potential, UNSIGNED lease/rental agreement
• Monthly utilities cost (water, electric, sewer, trash, internet, cable, communication, etc)
• Deposits
• Administrative fees
• Move-in/out fees
• Monthly food budget
• Renter’s insurance cost (where applicable)
• Transportation cost
• Cost to furnish dwelling
Address of desired off-campus accommodation Address of desired off-campus accommodation
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Name of person/people you plan to live with at this address if approved.
What is their relationship to you (friend, brother, aunt, etc.)
Do you plan to be employed while attending Missouri State?
How many hours per week do you plan to work?
Upload a Please write and upload a letter (.doc, .docx or .pdf format) explaining your circumstances and why you feel you should be granted an exception to the housing policy based on financial need.

Attach Files
Please upload a copy of your Financial Aid Award Letter

Attach Files
Please upload a letter or unsigned lease (.doc, .docx or .pdf format) from landlord or property manager of residence where you would like to live indicating deposit amount, monthly rent, amenities included (cable, internet, electric, etc), and whether unit is furnished.

Attach Files
Please upload a notarized letter (jpeg or .pdf format) from person/people you would like to live with verifying the address, living arrangement, relationship to you, and division of financial responsibility. (required if applicable)

Attach Files

A "Notarized letter" is a letter that has been signed in the presence of a Notary Public which can be found a most banks. It verifies authenticity of a document.
Please upload any other documentation you deem relevant to your exception request (.doc, .docx or .pdf format).

Attach Files
All Other Requests

You will need to submit a detailed letter outlining the reason(s) you feel you should be granted an exception to the University Housing Policy. Your letter should NOT include information regarding medical need(s) or financial concerns.
Please upload a detailed letter (.doc, .docx or .pdf format) outlining the reasons you should be granted exception to the housing policy.

Attach Files

General Exception Request Form

General Exception Request Form

Reason for Your Request

Online Only Learning:

Required Marriage/Parenthood Documentation:

Your Next Step in the Medical Request Process:

International Students

Extreme Financial Need Required Information

FAFSA must be filed with Office of Financial Aid before a request can be considered. Financial requests for Fall will begin to be considered in early June. Financial requests for Spring will begin to be considered in mid-October.

All Other Requests

FAFSA must be filed with Office of Financial Aid before a request can be considered.
Financial requests for Fall will begin to be considered in early June.
Financial requests for Spring will begin to be considered in mid-October.