Housing Late Stay Request Form 2019

Timeline

Please note that residents must leave 24 hours after their last final.

If you are staying any duration of time after the date and time mentioned above, complete this request by Friday, April 26th by 5:00 PM to avoid a late fee.

Important Information

If you are found to be in violation of the Student Code of Conduct, you will be removed from housing immediately.

There will be limited dining options provided after closing. Meal plans will not be effective after lunch on May 3rd.

First Name *

Last Name *

PID *

Current Building *

Room Number *

Phone Number (xxx) xxx-xxxx *

CSU-P Email Address *

Reason you are requesting to stay *

Other Reason:

If requesting to stay due to Athletics or working, please state which sport or department.

Provide your requested move out date * +

Provide the time you will be ready to officially check out of your room. You will be contacted if this time needs to be adjusted due to staffing availability. *

Student Signature *

clear