Thomas College

BREAK HOUSING REQUEST

This form is for any student wishing to submit a request for break housing.  Please note that by submitting a request, an exception is not automatic.  All requests will be reviewed and responded to on an individual basis. If you are requesting Break Housing for work related commitments, a letter from your employer is necessary for consideration.  Requests must be submitted no later than the day and time indicated in your break housing e-mail in order to be considered for an exception. 

First and Last Name
Residence Hall and Room No.
E-mail Address
   
Break Requesting Housing For
Specific Dates Requesting Housing
Reason for request

 

 

 

Please explain in detail your reason for the request above:

 

Please list any additional information about your request that you think would be helpful when it is reviewed: