Break Housing Request

This form is used by residents to request housing during Thanksgiving, Winter, and Spring Breaks.

PRIORTY FOR ON CAMPUS HOUSING WILL BE GIVEN TO CURRENT ON-CAMPUS STUDENTS

Break Housing

You will need to gather any necessary belongings from your present assignment and take them with you as you will not be allowed back into your permanent assignment until buildings re-open.

We offer a limited number of spaces to students who live in Blair-Shannon, Freddy, Wells and Woods (buildings which close over the break periods). Break periods are listed below.

Thanksgiving Break:
Buildings close at 7pm on Saturday, November 22 and re-open at 4pm on Friday, November 28.

Winter Break:
Buildings close at 10 am on Saturday, December 13 and re-open at 8am on Saturday, January 10.

Spring Break:
Buildings close at 10am on Saturday, March 14 and re-open at 8am on Sunday, March 22.

The cost of this on campus housing is $25/night for a double occupancy space and $37.50/night for a private space (when available). The Residence Life office will let you know if we have space available for you on campus, or once we fill up we will advise you of option 2 below.
Name Name First Last
Current Building and Room#
M-Number
Must be 9 characters. Currently Entered: 2 characters.
Ex: M12345678
Cell Phone Number Cell Phone Number - ### - ### ####
Email
Which break period(s) do you need housing for? Mark all that apply.

Which break period(s) do you need housing for? Mark all that apply. Thanksgiving Break Winter Break
Thanksgiving Break Nights of Stay
Thanksgiving First Night of Stay Thanksgiving First Night of Stay / MM / DD YYYY
Thanksgiving Last Night of Stay Thanksgiving Last Night of Stay / MM / DD YYYY
Winter Break Nights of Stay
Winter Break First Night of Stay Winter Break First Night of Stay / MM / DD YYYY
Winter Break Last Night of Stay Winter Break Last Night of Stay / MM / DD YYYY
Spring Break Nights of Stay
Spring Break First Night of Stay Spring Break First Night of Stay / MM / DD YYYY
Spring Break Last Night of Stay Spring Break Last Night of Stay / MM / DD YYYY
Occupancy Preference

Occupancy Preference Standard Double Occupancy (Shared bedroom/bathroom) for $25/night Private Bedroom, shared bathroom (space permitting) for $37.50/night. If not available, you will be assigned to a standard double occupancy space for the standard rate above.
Double Occupancy Addendum:

I acknowledge that, if assigned to a double occupancy space, I may receive a roommate at any time and the room will be kept ready to receive a new roommate. If the space is found to be not ready for an additional occupant I will be charged the private room rate for the duration of the break period.
Double Occupancy Acknowledgement

Double Occupancy Acknowledgement I understand and agree to the double occupancy addendum
Notes

Break Housing Request

Break Housing Request

Break Housing

Thanksgiving Break Nights of Stay

Winter Break Nights of Stay

Spring Break Nights of Stay

Double Occupancy Addendum: