Room Change Request Form

Please contact a Housing & Residence Life staff member if you require further assistance.

Accommodations will be based on the date and time which the form is returned and room availability.  The Office of Residence Life does not guarantee requests and reserves the right to make room assignments and reassignments as necessary.

Note: all fields are required unless noted as "optional."

Contact Information

First Name:
Last Name:
Student ID:M00
On Campus Address: Current Building:
Current Suite:
Current Bed:
Campus Mailbox Number:
E-Mail Address:
Contact Phone Number: - -

Room Change Options



I only want to move if a space is available in:
Building: Suite:
I want a room change…NO MATTER WHAT!

My ideal type of room would be:


My building preference:

Pioneer
Alexander
Tribune
Canal Hall
Please number the above buildings with "1" being most preferred and "4" being least preferred
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