Fillable Housing Agreement Release Form printable pdf download

Housing Agreement Release Form

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Housing Agreement Release Form

The University of West Alabama

When you applied for campus Housing, you entered into a legal contract with the University of West Alabama,

agreeing to live on campus for the entire academic year (fall and spring semesters) or the entire summer

semester. Requests to be released from the housing agreement are handled on a case-by-case basis. To be

considered, complete this form and return it to Luther Gremmels at the Housing Office

(Brock Hall

121).

Student Name: ___________________________________________________________

(Last)

(First)

(Middle)

Student Number: _________________________ UWA Email: ______________________

Birth Date: ______________________________ Gender:

Male

Female

Permanent Home Address: __________________________________________________

Local Phone Number or Cell Phone Number: ____________________________________

Current Residence Hall: _____________________ Current Room Number: ____________

I am requesting to be released from my housing agreement for the:

(Check One)

Remainder of the Fall Semester and all of the Spring Semester

Spring Semester Only

Remainder of the Spring Semester

Remainder of the Summer Semester

I am planning to:

(Check One)

Move to an off-campus apartment

Move to the home of my parents/guardians

Not Enroll at UWA Spring Semester

Other (Explain): ___________________________________________________________________

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Housing Agreement Release Form

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