Imagery of Regent people and campus

Room Change Request

Resident Information:
Name:
Email Address:
Building #:
Room/Apartment #:
Phone:
Housing Assignment Desired:
Regent Village
Phase I - Upstairs
Phase I - Downstairs
Phase I - Double Occupancy (furnished)
Phase I - Undergrad Quad (furnished)
Phase II - Upstairs
Phase II - Downstairs
Phase II - Double Occupancy (furnished)
Constitution Hall
Shared Studio
Shared One Bedroom
Four Bedroom Suite
Tripled One Bedroom
Foundation Hall
Shared Studio
Shared One Bedroom
Four Bedroom Suite
Tripled One Bedroom
Reason for room change:
Room Change
Date Requested:

All room changes may be subject to a processing $50 fee.

Please list your current roommate(s):

Signature:
Date:

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