Housing Exception Form

2012 Room Selection

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Housing Exception Form

UTCID

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Which semester are you applying for a residency exception?

I am requesting an residency exception because: I will live at home with a parent or guardian and live less than 45 miles from campus. I am or will be married while attending UTC as a freshmen. I have or will have a dependent child(ren) living with me while attending UTC as a freshmen. I have a medical condition(s) that prevent me from living on campus. I understand that my medical practitioner will have to submit a letter explaining my condition(s) and why I am unable to live on campus. Other. Please explain below and provide any necessary support documentation.

Explanation or Comments

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Upcoming Dates

3/29/2012 Transfer Room Selection

4/16/2012 Freshman Open Selection

4/9/2012 Freshman 2nd Tier Selection

4/2/2012 Freshman 1st Tier Selection

Housing and Residence Life

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