Reassignment Request Form -Ac14 - Usc Housing

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R
R
F
- R
S
USCHousing
EASSIGNMENT
EQUEST
ORM
ETURNING
TUDENTS
AC14
Timestamp:
This form is for returning residents who wish to be reassigned individually or as part of a roommate group
FOR OFFICE USE ONLY
Reassignment Request Terms
(Please read before completing your request!)

Reassignments are completed based on availability and are in no way guaranteed or promised in any circumstance.
Grp #

Reassignment requests will only be considered for students that have signed or confirmed a contract with USC Housing and
have paid all appropriate fees and deposits. Requestors must have a current housing contract to be eligible for reassignment.

Reassignment is not available to or from the USC-managed R.W. Selby Housing facilities.

This request constitutes authorization to cancel, irrevocably, an existing assignment in USC Housing if the requested reassign-
ment is granted. The student/group agrees to accept the new assignment as an alteration of their existing contract. This
Received by: __________ CSC:
request forfeits any and all claim to any previously assigned building or room type. If the reassignment can be completed, the
Reassigned to:
requesting student/group will not be contacted prior to reassignment to confirm that they still want the new assignment.

Residents may only have one uncompleted reassignment request open at a time.
BLDG ___ ___ ___ Room Type ____________

Each member of the roommate group must sign below and all must be present to show their IDs when this form is turned in.
Room # _______
Only roommates listed below will be considered; roommates requested and accepted in the UHR process will not be a part of
Reassigned by:
the reassignment request.

A notification e-mail will be sent to the student’s/group’s USC e-mail address(es) once they are reassigned.
E-mail notification:

Requestors will retain their current housing assignment USC Housing is able to complete the requested reassignment. If a re-
Unable to reassign:
assignment request is not fulfilled the requestor is expected to move into their current housing assignment and abide by all
applicable dates for that assignment.

Reassignment requests will remain active until a written request for cancellation is received in the Housing Services office, the
request has been completed, or the reassignment period ends on July 12, 2013, when all unfulfilled requests will be cancelled.
Student Information 
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__
__
__
__
__
Individual
Group
Male
Female
Undergraduate
Graduate
Signature
Name (last, first):
USC ID#:
Current 2013-2014 Assignment
(All must sign; signature indicates that
Building/Room Type
the student has read and accepts the Terms above)
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_________________________________
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_________________________________
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Preferences for Reassignment
1)
BLDG ___ ___ ___ Room Type __________

We will try to reassign you or your group to one of the four preferences (only) listed to the right. List only the
buildings and room types to which you/your group is willing to be reassigned. You will be assigned to the
2)
BLDG ___ ___ ___ Room Type __________
first listed space that becomes available; in the event that more than one is available at the same time, your
reassignment will be made in the order the preferences are listed.
3)
BLDG ___ ___ ___ Room Type __________

Groups requesting reassignment to hsouing with more than one contract type (such as an IRC suite or
a Troy Hall 2B5P) should clearly indicate which residents will be assigned to the single, double or triple rooms.
4)
BLDG ___ ___ ___ Room Type __________

Specific room / apartment numbers or floors may not be requested.

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