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.
EX: M00000001
Date of Birth Date of Birth / MM / DD YYYY
Email
Reason for Exception Request
Please select the option that most closely matches your circumstances

Please select the option that most closely matches your circumstances Married Students/Students with Children - Please upload a copy of your marriage license or child's birth certificate below. If you are an expectant parent, please upload an official letter from your doctor. Medical - After completing this form, please contact the Disability Resource Center at 417-836-4192 The DRC will collect and evaluate medical information and make a recommendation to Residence Life regarding appropriate accommodations. Extreme Financial Need - Please complete form below and upload additional information as needed. Other - This option is only for students who fall into NONE of the categories above and should not be selected as an alternative to providing required information for one of the other options.
Address of desired off-campus accomodation Address of desired off-campus accomodation
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name of person/people you plan to live with at this address (required if applicable)

"N/A" for not applicable
What is their relationship to you (friend, brother, aunt, etc)

"N/A" for not applicable
You may be looking for a Commuter Exception

To live with a Parent or Grandparent at that person's full time, permanent address that is within 45 miles of campus you should submit a Commuter Exception Request for the appropriate term, not this General Request.

If you intend to submit a Commuter Exception Request, please do not go any further in this General Exception Request.

Thank you.
Financial Need Required Information
Do you have a completed FAFSA on file?
No FAFSA

No FAFSA I acknowledge that I must complete a FAFSA before my request can be considered.
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, please 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
• Monthly food budget
• Renter’s insurance cost (where applicable)
• Transportation cost
• Cost to furnish dwelling
Do you plan to be employed while attending Missouri State?
How many hours per week do you plan to work?
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
Other Required Documentation
Required Marriage/Parenthood Documentation
Please upload a copy of your Marriage License or your child's Birth Certificate (jpeg or .pdf format)

Attach Files
Please upload a detailed letter (.doc, .docx or .pdf format) outlining the reasons you should be granted exception to the housing policy.

Attach Files
Please contact the Disability Resource Center at 417-836-4192,
or complete an accommodation request from their website.

The DRC will review your request and may make a recommendation to Residence life, Housing and Dining Services for an appropriate accommodation.
You may also contact the Office of Financial Aid at 417-836-5262 to ensure you have exhausted all scholarship, grant, and loan opportunities.
Please select an action below

Please select an action below I have an on-campus housing contract on file. Please cancel this contract if my exception request is approved. I have an on-campus housing contract on file. Please keep this contract active until I submit a cancellation request. I do not have an on-campus housing contract on file.
I certify that the information I have provided is accurate, and I understand that falsified information regarding any approved exception could result in being charged housing fees for the academic year.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

General Exception Request Form

General Exception Request Form

Reason for Exception Request

You may be looking for a Commuter Exception

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.

Other Required Documentation

Required Marriage/Parenthood Documentation

Please contact the Disability Resource Center at 417-836-4192, or complete an accommodation request from their website. The DRC will review your request and may make a recommendation to Residence life, Housing and Dining Services for an appropriate accommodation.

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

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.

Please contact the Disability Resource Center at 417-836-4192,
or complete an accommodation request from their website.

The DRC will review your request and may make a recommendation to Residence life, Housing and Dining Services for an appropriate accommodation.