Personal Info
Please select one of the following reasons you are requesting to live off-campus to be approved by Residence Life:
If you were unable to mark one of the items above, please mark one of the items below to be approved by the Dean of Students:

If approved, my off-campus contact information will be as follows:

Same as Parent/Guardian

If you do not receive a "Submission Confirmation:" message at the top of the page after submitting the form, you probably missed a required field.