Home / Residency Requirement Exemption Request Form

IMPORTANT NOTICE – Students should not sign a lease for an off-campus dwelling or make alternative housing plans until a written decision has been received from the Collegiate Housing Corporation of Bluefield approving a student to live off-campus. Signing a lease with another entity is not grounds for approval.
Name(Required)
Email(Required)
Home Address(Required)
I would like to be released for (Fall 2022 or Spring 2023)(Required)
Clear Signature
The information supplied on this request is, to the best of my knowledge, accurate. If false information is submitted, I understand that my release will automatically be denied and I may be referred for disciplinary action.