Assignment Change Form
Assignment Change Form
Personnel Information
Personnel Filling out Request
Personnel Filling out Request
*
First
Last
Student Information
Type of Request
*
Hall Change
Room Change
Apartment Change
Term
*
Fall
Spring
Summer I
Summer II
Student Name
Student Name
*
First
Last
T-Number
*
Must be
9
characters.
Currently Entered:
0
characters.
must start with a "T"
Student Email
(Must be a "@tntech.edu" address)
*
Confirm Student Email
*
Make sure email addresses match.
Does this student have an ESA?
*
Yes
No
Current Housing Assignment
Current Building
*
Browning Hall
Cooper Hall
Crawford Hall
Dunn Hall
Ellington Hall
Evins Hall
Hotel
Jobe Hall
Maddux Hall
McCord Hall
MS Cooper Hall
Murphy Hall
Pinkerton Hall
New Hall North
New Hall South
Tech Village
Warf Hall
Current Room/Apartment Number
*
New Housing Assignment
New Building
*
Browning Hall
Cooper Hall
Crawford Hall
Dunn Hall
Ellington Hall
Evins Hall
Hotel
Jobe Hall
Maddux Hall
McCord Hall
MS Cooper Hall
Murphy Hall
Pinkerton Hall
New Hall North
New Hall South
Tech Village
Warf Hall
New Room/Apartment Number
*
Check In Date
Check In Date
*
/
MM
/
DD
YYYY
Staff has communicated to the resident whether there will be any additional charges and they understand they are responsible for those charges.
*
Staff has communicated to the resident whether there will be any additional charges and they understand they are responsible for those charges.
Yes
Will student buy out new room?
*
Yes
No
Notes (please include the checkout date)
*