Winter Break Late Departure Request - Form Builder

2024-25 Academic Year:

Winter Break: Saturday, December 14 at 6:00 pm - Sunday, January 12 at 10:00 am
The deadline to register for Winter Break without a late charge is Monday, December 9 at 5:00 pm
If you register to stay both nights, you must depart from your residence hall room/apartment by 10:00 AM the morning of December 16.

Residence Hall/ Apartment: *

Room/Apartment Number:*

First Name: *

Last Name: *

Student ID: *

Email Address

(Confirmation will be sent to this email address): *

Please select which nights you plan to stay on campus.
There is a $25 fee for each night you stay. Your ID card will only grant you access for the nights you select. You must depart from your residence hall room/apartment by 10:00 AM the morning of December 18th.*

Saturday, December 14*

Yes

No

Sunday, December 15*

Yes

No

Reason for staying over break:*

"By checking 'I Agree' I acknowledge that I am entering into a binding contract with the Department of Residence Life for the period specified. I agree to pay all charges associated with the Week-Long Break Policy, including late registration charges that are added to my account. I agree to follow all rules and policies laid out by the Department of Residence Life and Truman State University. I understand that failure to fulfill all expectations outlined in the Week-Long Break policy may result in fees applied to my account."*

I Agree