Name* First Last Student ID #Cancelling room for (for example, if you will be living on campus through the end of the spring 2014 semester, you will be cancelling for the fall 2014 semester):*Summer 2016Fall 2016Spring 2017Summer 2017Fall 2017Spring 2018Reason for Cancellation:*GraduatingTransferringWithdrawingGetting MarriedActive Military DutyLiving in an off campus apartmentCommuting from homeMedical ReasonsPersonal ReasonsOther ReasonsIf Transferring, to which college/university:Reason for transfer or moving off campus (i.e. major of study, cost, closer to home, etc.):*All requests must be received before the given deadlines in order to receive a refund of the $100 damage deposit. When cancelling for the fall semester, the deadline is June 30th; for the spring semester the deadline is December 15th. PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.