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    Housing Release Request: Resident Information

    Uploaded by

    barglesnargle
    This document is a housing release request form for undergraduate students at Case Western Reserve University who want to be released from the campus housing requirement. It requests information such as the student's name, ID number, room assignment, reason for request, meal plan cancellation preference, and signature. It provides options for reasons such as commuting from home, being married, medical reasons, religious reasons, financial reasons, or other. It requires additional documentation and approvals depending on the reason selected. The form must be returned to the housing office for review and a decision will be communicated via email.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Housing Release Request: Resident Information

    Uploaded by

    barglesnargle
    49 views1 page
    This document is a housing release request form for undergraduate students at Case Western Reserve University who want to be released from the campus housing requirement. It requests information such as the student's name, ID number, room assignment, reason for request, meal plan cancellation preference, and signature. It provides options for reasons such as commuting from home, being married, medical reasons, religious reasons, financial reasons, or other. It requires additional documentation and approvals depending on the reason selected. The form must be returned to the housing office for review and a decision will be communicated via email.

    Original Description:

    housing release case western

    Original Title

    Housing Release

    Copyright

    © © All Rights Reserved

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    This document is a housing release request form for undergraduate students at Case Western Reserve University who want to be released from the campus housing requirement. It requests information such as the student's name, ID number, room assignment, reason for request, meal plan cancellation preference, and signature. It provides options for reasons such as commuting from home, being married, medical reasons, religious reasons, financial reasons, or other. It requires additional documentation and approvals depending on the reason selected. The form must be returned to the housing office for review and a decision will be communicated via email.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views1 page

    Housing Release Request: Resident Information

    Uploaded by

    barglesnargle
    This document is a housing release request form for undergraduate students at Case Western Reserve University who want to be released from the campus housing requirement. It requests information such as the student's name, ID number, room assignment, reason for request, meal plan cancellation preference, and signature. It provides options for reasons such as commuting from home, being married, medical reasons, religious reasons, financial reasons, or other. It requires additional documentation and approvals depending on the reason selected. The form must be returned to the housing office for review and a decision will be communicated via email.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Electronic Mail

    housing@case.edu

    Resident Information (please print)


    Student ID
    Network ID

    @case.edu
    Your status is always available on the Internet:
    http://housing.case.edu/myhousing

    FAX

    (216) 368-6658

    Telephone

    Case Western Reserve University


    Residence Life & Services

    (216) 368-3780

    Housing Release Request


    Use this form only if:
    You are an undergraduate requesting to be released from the campus housing requirement
    Your financial aid package may be impacted if you are released from housing. Please check with the financial aid
    office before pursuing this option.
    Last Name

    First Name

    Effective Semester
    Summer 2015 Fall 2015 Spring 2016

    Room Assignment

    Reason for Request (choose only one)


    Commuting from Home (parent must complete below)
    Married (attach copy of marriage certificate)
    Medical (requires approval from Disability Resources)
    Meal Plan Cancellation

    Religious (attach letter from clergy)


    Financial (requires meeting with Financial Aid)
    Other (use back or attach explanation)

    If approved for a housing release, you can either request to have your meal plan cancelled or you can keep your
    meal plan for the academic year. Please make a selection:
    Cancel my meal plan for 2015-16
    Do not cancel my meal plan for 2015-16

    Signature
    The committee will review your request under the guidelines established in the Residence Hall Agreement. If your request requires
    a meeting with the Director, you will need to schedule an appointment. You will receive an email message informing you of the
    outcome. You are responsible for the room and any associated charges until that time or through the contract period if your request
    is denied. You may be charged a cancellation fee for this change; see the Residence Hall Agreement for details

    Resident Signature

    Date

    This form must be returned to Yost 35


    with any supporting documentation.

    For Office Use Only

    2 March 2015

    CH MD FN Other:

    Approved
    Hold
    Denied

    Completion Stamp
    Date

    Housing Official

    Cancel $200
    Cancel 20%
    Daily Rate

    Greek Chapter Approval


    A chapter officer must sign this section if you are an active member of a Greek organization as recorded by the Office
    of Greek Life. Your request will not be processed without this approval. If your chapter will not grant its approval, you
    must appeal through the process established by that organization before submitting your request.

    Chapter (choose one)







    Signature

    We understand that the applicant has requested a release from the campus housing requirement and any current contracts. As an
    authorized officer of the organization marked above, I am verifying that our member does not have any obligation to live in our
    house (or designated residence hall area). We understand that our approval does not guarantee that the applicant will be released.

    Chapter Officer Signature

    Date

    Position

    Commuter Confirmation
    This section must be completed if you wish to commute from a parent or guardians permanent home within 40 miles
    of the CWRU campus. You may also attach a signed letter which includes the same information.

    Address Information (please print)


    Street Address
    Telephone

    City
    Name of Telephone Listing

    Distance in Miles to Case


    <5 5-25 26-40

    >40

    Signature
    As a parent or legal guardian, I verify that the applicant intends to live in my/our home at the address and telephone number listed
    above. I understand that if the applicant or I move from this location, a release automatically terminates and s/he must return to
    campus housing or obtain a new release. I understand that this request will be reviewed in accordance with CWRU residency policy
    and the Residence Hall Agreement (if applicable), and that my approval does not guarantee that the applicant will be released.

    Parent/Guardian Signature

    Date

    Relationship

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