SINGLE ROOM REQUEST

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Student Name

Student ID

Current Hall

Current Room

Ship Email (required)

Semester requested

Year Requested:

I agree to pay the single room rate of 1.5 times the communal 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

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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

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