Request for Contract Release and/or Cancellation Form

Request for Contract Release and/or Cancellation Form

IMPORTANT NOTE: Please understand this is only a request. There are no guarantees. If you are currently in a housing contract and living in a room/apartment, you will be required to honor your housing contract.
PERSONAL AND CONTACT INFORMATION
Name Name First Last
T-Number (please include letter T and all numbers):
Please note that we use this to verify identity. Incorrect numbers may hinder this process.
Must be 9 characters. Currently Entered: 0 characters.
Are you at least 18 years old at the time of this request?

Are you at least 18 years old at the time of this request? Yes No
Home Mailing Address Home Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please give your Tennessee Tech email address (you will receive a copy of this request):
Please give a number we can reach you at, preferably a cell phone number: Please give a number we can reach you at, preferably a cell phone number: - ### - ### ####
If you currently live on campus or currently have an assignment, please choose the appropriate hall/location:
REQUEST INFORMATION
Please choose the request period:
Please indicate your reason for requesting cancellation of your application or contract release for the on-campus requirement:

Please indicate your reason for requesting cancellation of your application or contract release for the on-campus requirement: Not enrolling at Tennessee Tech University (Please know we will verify all classes have been dropped.) Withdrawing from Tennessee Tech University (Please know we will verify all classes have been dropped.) Age 21 by the first day of classes for the semester Commuting from a parent and/or legal guardian at their permanent address which is within a 50 mile radius of Tennessee Tech University (Please provide a parent's name and address for verification below) Living with a brother or sister who a sophomore status and is enrolled full time at the university - his/her residence must be within a 50 mile radius of Tennessee Tech University (Please provide the sibling's name and address as well as your parent's name and address (if under 18) for verification in the comment space below) Participating in academic internship or co-op program verified by the university (Please provide a contact name and address for verification in the comment space below) Married (Please provide your completed original marriage license for documentation purposes) Single Parent (Please provide dependent's birth certificate(s) for documentation purposes)
Parent Name (all documentation will need to match the name you list here): Parent Name (all documentation will need to match the name you list here): First Last
Parent Address (This is also the address you are commuting from): Parent Address (This is also the address you are commuting from):
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent Name (Since you are not at least 18 years old, we will need to send letter to parent for approval to commute from sibling's address): Parent Name (Since you are not at least 18 years old, we will need to send letter to parent for approval to commute from sibling's address): First Last
Parent Address (To send letter for approval to commute from sibling's address): Parent Address (To send letter for approval to commute from sibling's address):
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Sibling Name (Name of sibling you are living with): Sibling Name (Name of sibling you are living with): First Last
Sibling T-Number (University Identification Number with letter "T" included):
Sibling Address (This is also the address you are commuting from): Sibling Address (This is also the address you are commuting from):
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Academic Internship/Co-op Program Contact Name Academic Internship/Co-op Program Contact Name First Last
Academic Internship/Co-op Program Contact Address Academic Internship/Co-op Program Contact Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please give the appropriate support for your selection above:
By submitting this form, you agree and understand the following:
(1) the request/cancellation is not guaranteed to be granted;
(2) requests are commonly reviewed within 24 to 48 business hours.
(3) you will receive notification of a decision via your Tech email address;
(4) we may notify by letter or phone calls if deemed necessary for more information;
(5) we do not remove any applicable housing holds until a decision is/if approved.
Type the letters you see in the image below.