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Student Housing Request Forms

Summer 2012 S.O.E. Residency Housing Information

Exclusively for Regent University students participating in the School of Education continuing education program during summer 2012:

• Residency Housing Terms and Guidelines (Read First)
• Residency Housing Request Form - Final Submission Deadline June 1, 2012
• M.Ed/Educational Leadership Residency - Housing Agreement Form (To be signed upon Arrival)
• EdS, EdD, PhD or TESOL Residency - Housing Agreement (To be signed upon Arrival)
• What's Included/What to Bring/What not to Bring

Request Forms

• Agreement Acceptance Form
• Application for Housing
• Commons Student Housing Assignment Packet
• Commons Vacate Packet
• Commons-What Should I Bring to Campus List
• Residence Hall - Common Area Reservation
  Request Form
• Community Room Reservation - Regent Village
• Cox Communications Additional Outlet Request Form
• Fees for Damages, Cleanings & Repairs
• Game Console Registration
• Guest Authorization Form
• Guest Authorization Form -- MINORS
• International Student Resource Guide
• Maintenance Request
• Notice to Vacate
• On-Campus Student Housing Agreement
• Regent Housing Incident Report
• Request to Terminate Student Housing Agreement
ATTENTION: Please be aware, any and all residents who choose to terminate their Student Housing Agreement before their original set end date for any reason other than complete withdrawal from the University, will automatically forfeit their $350 housing deposit, and remain financially responsible for the original housing agreement fee, for the remainder of their originally set Housing Agreement term.



Date of Request:
Name of Resident:
Housing Assignment (Building/Room #):
Phone Number (day):
Phone Number (eve):
Email:
Reason for Request to Terminate Student Housing Agreement:	Medical Legal Familial Other
Please Explain Your Reason:
For All Residents Submiting
Please acknowledge the following:	I affirm that the information provided above and all supplemental documentation are true and honest statements. Further, I understand that action may be brought against me by the university under the Student Handbook for providing false or misleading information, statements and/or records.

• Room Change
• Spousal Residency Confirmation Form
• Student Information Card
• Village Move In Condition Report
• Village Phase I Vacate Packet
• Village Phase II Vacate Packet
• Village Student Housing Assignment Packet