Request to Live Off-Campus

This form is for incoming first-year students only. Please fill out this form to request a housing exemption. Requests will be reviewed on a case-by-case basis. Fields marked with * are required.

Biographical Information

First Name*

Middle Name

Last Name*

Birthdate*

Contact Information

Email Address*

Phone Number*

Intended address for upcoming semester*

Country

Street

City

Region

Postal Code

Request Details

Are you planning to commute from the home of your parent/guardian?

Yes

No

Please state the circumstances around your request to commute. Please include any pertinent information you wish to convey to the committee:*