Parent - Commuter Status Application

I have read and understand the parent commuter status policy: Yes No

Name:			Male
	(first)	(last)	Female
Student ID Number:		E-mail Address:
Present College Address:		Present Phone Number:
Request for 2013-2014 term(s):

List address of your parents


(street address)

(city)	(state & zip)	(area code & phone number)

Number of miles from campus:

Rationale:

By submitting this form electronically, I authorize the Housing Office and the Housing Appeals Committee to review my financial aid and academic records and to contact my parents during the review process. I understand that by requesting commuter status, my financial aid may be affected. Moreover, if it is determined that I am not commuting from my parents' home, I may be required to move into an assigned college space and be billed for the entire academic year.

In the event that notification is made while school is not in session, please mail notification to the following address:

(street address)

(city) (state & zip) (area code & phone number)

APPLICATION MUST BE SUBMITTED BY FEBRUARY 1, 2013.