On-Campus Housing

Housing Contract Release Form

Please read the guidelines for release from housing contract before completing this form. All Fields are required.

Student Information

First Name:
Last Name:
NSU ID:
Email:
Current Room Assignment:
Phone:
Mailing Address:
City:
State:
Zip Code:

Housing Contract Release Information

For the semester(s) of: Fall Summer Winter Whole Academic Year

Please provide a reason:

Other Reason:

 
I understand that fees are assessed in accordance with the terms and conditions of my signed contract. See guidelines for release from housing contract.
I understand that I have to submit proper documentation in order to have this form approved. See guidelines for release from housing contract.
I fully understand, accept and agree to be bound by all the terms and conditions of the Housing Contract Release form. See guidelines for release from housing contract.
I fully understand that I am not able to check out until I received notification from the Office of Residential Life and Housing that I am able to check out of my room.
I fully understand that I must abide by the check out procedures listed in the Residential Living Guide.
   
Check Out Date:
Student Signature: _______________________   Date: ____________
Parent Signature: _______________________   Date: ____________
  (If student is under 18 years of age)