Housing Cancellation/Request to be Released from Housing Contract

Completing this form will also cancel food plans for residential students.

Name*
First Last
Student ID#*
Email*
Effective date/term of cancellation*
Specific Date of Cancellation Request
MM slash DD slash YYYY
Dining Plan
Reason for Cancellation*
If you are transferring, please list college/university of transfer below:
Reason for Transfer or Withdrawal from WLU
If you selected other, please explain
Request to be Released from Contract during Semester
If you will still be enrolled as a student but are requesting to be released from your housing contract, please complete the following section.
Where will you be living after move out
Please give details on your reasons to request to be released from your housing contract.
Please be as detailed as possible to better assist our office in reviewing your request.

Request to be Released from Contract during Semester