Example Sheet
Total Page：16
File Type：pdf, Size：1020Kb
1 form per room American University EXAMPLE SHEET change group Housing & Dining Programs | Fall to Spring Room Change Request Form | Every student who is involved in this room change must complete this form and initial. For individuals that are currently abroad or not living on campus, please ensure they have completed a spring housing application through the Housing & Dining Website (leave space for student initial blank). All housing cancellation forms must be completed by students leaving their fall assignment prior to completing this form. Full Name AUID Action for spring Current Fall Location Desired Spring Location Student Staff BLDG & Room # BLDG & Room # Initial Notes □ Remaining in current room □ Cassell 205B □ Cassell 205B Goofy the Dog 1234567 □ Room Change Request (BLDG & Room #) (BLDG & Room #) GD □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student □ Remaining in current room □ Cassell 205B □ Mickey Mouse 2323243 □ Room Change (BLDG & Room #) (BLDG & Room #) □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence MM □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student □ Remaining in current room □ McDowell 502 □ Cassell 205B □ Room Change Donald Duck 8528528 (BLDG & Room #) (BLDG & Room #) □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence DD □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student □ Remaining in current room □ Cassell 205A □ Cassell 205A □ Room Change (BLDG & Room #) (BLDG & Room #) MM Minnie Mouse 9874625 □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student □ Remaining in current room □ Cassell 205A □ □ Room Change (BLDG & Room #) (BLDG & Room #) Daisy Duck 0254287 □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence DD □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student □ Remaining in current room □ □ Cassell 205A □ Ariel, the Mermaid 4564564 Room Change (BLDG & Room #) (BLDG & Room #) □ Return/Move On-campus □ Abroad/leave of absence □ Abroad/leave of absence AM □ Moving off-campus/abroad/leave □ Off-campus □ Off-campus of absence/terminate housing □ No longer an AU student Staff Notes: .