Housing Break Request Form

The 2020-2021 Housing Winter Break Period begins November 25th, after finals and ends December 31st.

Students that need housing during this time should indicate their interest with this form.

This is merely a request and does not guarantee housing over break.

Please submit this form and contact the Housing Office at housing@carrollu.edu with questions.

Name*

First Name

Last Name

Email*

Student ID Number *

Residence Hall *

Building and Room #

Reason for Housing Break Request

Reason*

Athletics On Campus Employment International Student Academic

Other:

Housing Start Date Needed*

Housing End Date Needed*

J Term dates will be available at a later time

Employment Supervisor (if applicable)

Academic (if applicable)

Athletics Team (if applicable)

Requests for housing over Winter Break must be submitted no later than 11:59PM November 13, 2020.

A $25 charge may be assessed if petitions are handed in after November 13 at 11:59pm

Submitting this request does not guarantee housing. Confirmation emails will be sent once the request has been approved. Submitting this request is an agreement to follow all policies listed in the Carroll University Student Handbook. Failure to do so will result in disciplinary action and removal from Campus Housing until January 22nd.

No guests are permitted during the break period. Students may be consolidated depending on need and some services may be delayed or unavailable.

By clicking the “Submit” button below you are agreeing that all information submitted on this form is truthful and that you will abide by all Carroll University policies listed in the Student Handbook as well as those listed in your housing and dining agreement.