Tennessee Tech University

Which Area Is this Request For
Select Area...Residence HallsTech Village Apartments
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Request Period
Request Period...Fall Semester / Academic YearSpring Semester OnlyEntire Summer SessionSummer Session ISummer Session II
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Request to Cancel
Request to Cancel....Cancel Housing Application / License Agreement-Currently Do Not Live On Campus Cancel Housing Application / License Agreement-Currently Living On Campus Cancel Tech Village Apartment Application-Currently Do Not Live in Tech Village Submitting 30 Day Notice For Current Tech Village Apartment
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If request to cancel, I will be moving out on:

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Request to Add to my Current Housing Agreement
Request to Add...Add Spring SemesterAdd Summer Session IAdd Summer Session II
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Support for Reason

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Reason for Request
Select Reason...Not enrolling at TechWithdrawing from TechHave Junior (60 hr) ClassificationCommunting from Parent or Legal Guardian residency which is within 50 milesParticipating in Academic InternshipPhysical/Emotional Disability Verified by PhysicianMarriedSingle ParentWill be at least 21 by the first day of classEmergency Release
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Name (*)

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T# (*)

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E-Mail Address (you will get a copy of request) (*)

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Phone

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I am currently Living....
Please Select....On CampusOff Campus
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If On Campus, Box#

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If On Campus, Building
BrowningCooperCrawfordDunnEllingtonEvinsJobeMadduxMarshallMcCordMS CooperMurphyNew HallPinkertonWarfWhiteTech Village
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If Off Campus, Street Address

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If Off Campus, City, State & Zip

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Please Enter the Following Numbers


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I understand this is an appeal form and I am not guaranteed this appeal will be granted. Appeals are commonly reviewed within 24-48 hours and notification will be made via e-mail or to above listed address.