Extended Stay Request

All non-graduating students who want to say in on-campus housing more than 24 hours past their last final must fill out this form and submit it to the Office of Residence Life by Wednesday, May 4, 2011. Students who meet one of the four criteria below will be approved for an extended stay:

1. Participating in commencement activities

2. Sibling of a graduating student

3. Living in Messiah housing for the summer

4. College sponsored responsibility - must list advisor or supervisor who is supervising this responsibility

If you are staying for one of the reasons listed above you may fill out the form below. If you would like to request to stay for another reason you must ask your RD to email his/her special approval to housing@messiah.edu

* denotes a required field.

*Name
*Student ID #:
Current Housing Assignment:
*Hall/Apt.:		*Room #:
*Email Address:
*Date you will be leaving:
*Reason for staying: Participating in commencement activities (please list your role and the name of your faculty/staff sponsor) Blood relative of a graduating student (please give the name of your relative in the box below) Summer resident College sponsored event or responsibility - list advisor or supervisor in the box below Other - please explain below

**Completed forms are due by 5:00 p.m. on Wednesday May 4th**

**If you are listing a reason other than the four above you MUST have your RD submit his/her special approval to housing@messiah.edu**