First Time Student (Domestic Student)
First Time International Student
I am requesting:
To live somewhere other than Campus Village.
To live in a single occupancy bedroom as a 1st year student based on medical or other need.
An adjustment to the dining plan based on medical, religious or dietary need.
I am requesting an exemption for:
CU Denver Student ID Number
Date of Birth
Parent(s) or Legal Guardian(s) Information
Email Address (if applicable)
Standard Exemptions to Live-In Requirement
Please select those that apply:
You are over 21 years of age
You are/will be living with a parent or guardian
You are a veteran of the armed forces
You are married, in a civil union, or a parent with dependents
You are deemed medically excusable by the Office of Housing and Residential Education (must be supported in writing by a doctor stating a medical reason the exemption is necessary and 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 for the Fall 2013 and Spring 2014 academic year.