I am...
First Time Freshman (Domestic Student)
First Time International Student
Student Information
First Name
Last Name
Address 1
Address 2
City
State
Zip
Phone
Email Address
Parent(s) or Legal Guardian(s) Information
First Name
Last Name
Address 1
Address 2
City
State
Zip
Phone
Email Address (if applicable)
Standard Exemptions to Live-In Requirement
Please select those that apply:
You are/will be living at home with a parent or guardian
You are a veteran of the armed forces
You are married or a parent with dependents
You are enrolled for less than 10 credit hours per semester
You are deemed medically excusable by the Office of Student Life (must be supported in writing by a doctor and with appropriate medical documentation)
All other requests will be handled on a case by case basis.
Detailed Reason for Exemption Request
I certify that all the information provided is accurate to the best of my knowledge and that I plan on living with my parent/guardian for the Fall 2009 and Spring 2010 academic year.