Request to Change Housing AssignmentName(Required) First Last Student ID # (including @ symbol)(Required)Current Residential Facility(Required)Beta HallBonar HallBoyd HallCommons ApartmentsCurtis HallHughes HallKrise HallOff CampusRogers HallTopper Village ATopper Village BTopper Village CUniversity Place IUniversity Place II183 Residence Drive (GA House)310 Faculty Drive (GA House)538 Vanmeter Way (Theta Xi House)556 Vanmeter Way (Chi Omega House)572 Vanmeter Way (Alpha Xi Delta House)588 Vanmeter Way (Phi Delta House)Number(Required)Specific Request for Housing Change(Required)Request designated single room buildingRequest to move in with another residentRequest a different room in the same buildingRequest a double room as a singleRequest to be placed on the waiting list for specific location(s)Request to speak to housing staff to find more options available.OtherDetailed description of change requested(Required)Date Student Requests to Move(Required) MM slash DD slash YYYY