HOUSING WITHDRAWAL/CANCELLATION FORM

This form must be completed to cancel your Housing Contract. Withdrawal form will not be processed until this form is submitted. I understand that I will be charged for late cancellation (see Residence Hall Refund Policy) and that failure or late submission may result in delays in registration or cancellation of classes. PLEASE NOTE: Residents who have checked in must complete the withdrawal form, vacate their room and return their key(s) and ID before a refund is processed. Fall residents who withdraw/cancel, may not remain in the residence halls for winter recess. I am withdrawing from the residence halls for the semester
I am withdrawing from the residence halls for the semester                  SELECT Fall Spring Summer Winterim YEAR:                 
                                                                                                                   (SEMESTER)             (YEAR)

What is your current status? (You must choose an answer for both questions)

  SELECT YES N/A I am currently living in the halls. I am vacating my room on . I understand that residents who have checked-in must complete the withdrawal form, vacate their room and return their key and ID before a refund is processed. Room damages and other charges may apply.

  SELECT YES N/A I have not checked into the halls.

Student Last Name:
First Name:
@ Number:                                 DATE                       

Reason for withdrawal:                  SELECT Graduating Withdrawal from College Transferring to Another College Dropped by Academic Standards Financial - Moving Out of Halls Not Financial - Moving Out of Halls Medical

FIT Residence Hall Refund Policy:

No Refunds for recess housing.

The Residence Contract is binding for the full academic year (except for those accepted for the spring semester only). 

Students who withdraw will be responsible for a minimum charge of $300.00*, and are liable for any financial penalties incurred as a result of terminating the contract.

Withdrawal forms submitted prior to August 1st for the fall semester or January 1st for the spring semester are subject to the $300.00* non-refundable deposit or $300.00* minimum charge. 

For withdrawal charges/refunds after August 1^st (fall)/January 1^st (spring) see refund schedule

Subsequent withdrawals will be subject to the following refund schedule:
*REFUND SCHEDULE: from August 1ST (fall) or January 1ST (spring) 

until:    *1^st day of the 1^st week of classes: Refund of 75% (charge 25%) of total room charges
*1^st day of the 2^nd week of classes: Refund of 50% (charge of 50%) of total room charges
*1^st day of the 3^rd week of classes: Refund of 25% (charge of 75%) of total room charges
*1^st day of the 4^th week of classes: No refund

Students accepted after August 1st (fall) or January 1st (spring) are required to submit payment in full and are subject to the charges reflected above.

All refunds will be credited to the student’s account through the Bursar’s office.

Room portion: Refunds reflected above are based on cost for total room charges.

Meal portion: Food service refunds are calculated on a weekly basis (week ending Wednesday 5:00pm). Declining balance dollars are non-refundable. 

I have read, understand and agree to the following:

Housing charges will be applied to my student account based on the refund policy. 

Residents occupying a space will be charged based on refund policy until all possessions are removed and key/ID are returned to the Residential Life Office. Damage or other charges may apply.