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Thanksgiving Break Housing Form (Fall 2022)

Please take a moment to fill out this form. This form will be used by The Office of Residential Life and/or University Police in the case of an emergency.

  • Must be 9 digits.   Currently Entered: 3 digits.
  • Name Name *
  • Cell Phone: Cell Phone: * - -
  • I plan to be on-campus the following dates: *
    I plan to be on-campus the following dates:
  • I plan to be on-campus for the following reason: *
    I plan to be on-campus for the following reason:
  • I agree to the following.... *
    I agree to the following....
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