Fax:  (717) 477 - 4040

Student Name:       Student ID:       

  Current Hall:       Current Room:      
Ship Email (required): 

Semester requested:      Year: 

  I agree to pay the single room rate of 1.5 times the traditional room rate.

  I understand that by submitting this form, I am responsible for the charges.

  I have 48 hours after the approval to cancel this request without any obligation to the charges.

  I understand that I may be moved to a vacancy on campus if I cancel my request for a single room

Students will not be billed directly for these charges. Students will receive a email response of the approved via email. Upon approval, payments should be sent to:

Shippensburg University
Student Accounts
100 Old Main Drive
Shippensburg, PA 17257

Students should indicate with their payment that they are paying for the single room charge.

Thank you for your single room request.  If/when a single room becomes available the Housing Office will email you at your Ship email account.

Yvonne Shoop
Housing Office
(717) 477-1500