Not Returning Form:

Not Returning Form:

If you do not plan to return for the Spring, please complete the following information:

Name Name * First Last
BearPass ID (M Number) *
Must be 9 characters. Currently Entered: 2 characters.
Email *
Building *
Room Assignment *
Please select the appropriate "Not Returning" reason: If your reason does not appear below, please contact the office of Residence Life, Housing and Dining Services at 417-836-5536 or ResidenceLife@missouristate.edu *

Please select the appropriate "Not Returning" reason: If your reason does not appear below, please contact the office of Residence Life, Housing and Dining Services at 417-836-5536 or ResidenceLife@missouristate.edu Graduating in December: Advising Notes must reflect your impending graduation. Transferring to another institution: Be sure you are not enrolled in future courses and have properly checked out, to avoid being charged. Withdrawing from Missouri State University: Be sure you are not enrolled in future courses and have properly checked out, to avoid being charged. International Student returning home: Be sure you are not enrolled in future courses and are properly checked out, to avoid being charged. Study Away, Student Teaching out of Area, or Academic Internship: Please upload verification from the Study Away Office or your Academic Advisor using the "Select Files" button below. Requesting to live in a Fraternity or Sorority Chapter House: Please compete the request form below (this option only applies between Fall and Spring semesters). I will be returning to campus.
Upload supporting documentation for Study Away, Student Teaching, or Academic Internship *

Attach Files

Supporting documentation from your host school or the Study Away office. Student teaching approval is contingent upon location of host school. If you have questions, please contact our office at 417-836-5536.
Select Files to Upload (optional)

Attach Files
I am planning to move out on: I am planning to move out on: * / MM / DD YYYY

Residence Halls and Apartments close at 8am on Saturday, December 14. You must be checked out by an RA/CA by that time. If you have questions about this process, please contact the Residence Life office at 417-836-5536.
Fraternity and Sorority Breakage Request:

This is ONLY a request, breakage is contingent on the criteria below. Grades are reviewed at the end of the semester, and approvals/denials are communicated once offices re-open the first week of January. Approved breakages are subject to a $250 breakage fee and loss of the $100 housing deposit. Requests must be submitted by January 1.

Required Criteria to live in Chapter House (you must meet ALL criteria to be eligible). *

Fraternity and Sorority Breakage Request:

This is ONLY a request, breakage is contingent on the criteria below. Grades are reviewed at the end of the semester, and approvals/denials are communicated once offices re-open the first week of January. Approved breakages are subject to a $250 breakage fee and loss of the $100 housing deposit. Requests must be submitted by January 1.

Required Criteria to live in Chapter House (you must meet ALL criteria to be eligible). I have lived on campus at Missouri State for two full semesters (not including summer) --OR-- I started this semester with at least 30 post-high school credit hours (dual credit does not count) At the end of the fall semester I will have at least a 2.5 cumulative GPA AND my chapter house will have at least a 2.5 GPA --OR-- I will have at least a 2.0 cumulative GPA AND my chapter house will have at least a 2.75 GPA After fall I will have successfully completed (and passed) at least 24 credit hours I understand that my chapter president must communicate with Residence Life that I have been approved to live in the chapter house as a past of my requet process. I understand that my chapter president must update our organization's roster with the Office of Student Engagement to show me as "In-House" as a part of my request process.
Chapter House *

If your chapter is not listed, it likely means they are not eligible for breakage. Please contact the Residence Life Office at 417-836-5536 with questions.
Departing International and Exchange Students:

If you are leaving the country after this semester and not returning to Missouri State, you may be eligible to receive a voucher for a refund of your $100 housing deposit.

1. Please come to Hammons House 104 at least one week prior to your check out to request your voucher.

2. After you check out, return to Hammons House 104 before 3:00 pm, Monday-Friday to pick up your voucher.

3. Take your voucher to the Bursar's Office (before 4:00 pm Monday-Friday) in Carrington Hall to receive cash.

You will need to complete this before Commencement.
Your signature below certifies that you understand the following:

The Housing Contract is active until May 16th, 2020 for residents unless above criteria for cancellation or breakage are met and approved by the housing office.

If you are withdrawing or transferring, completion of this form certifies that you are not registered for future semesters. Upon your proper check-out, you will forfeit your $100 housing deposit. You can not be checked out if you are registered for classes for the next term.

Students who are graduating, studying away, student teaching, or participating in an academic internship will receive a refund of the $100 housing deposit provided the appropriate documentation has been submitted.

Students requesting a Fraternity or Sorority breakage (between Fall and Spring semesters) will be notified of approval or denial by the second week of January. Approvals are subject to the $250 breakage fee and loss of the $100 housing deposit.

Students who wish to remain enrolled at Missouri State University but request a breakage of the housing contract for reasons other than those listed above must contact the Office of Residence Life, Housing and Dining Services at 417-836-5536.
Happy to have you back!

We are glad you'll be living with us again. See you next semester!
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