Residential Life Housing Appeal Form

PERSONAL AND CONTACT INFORMATION
Name: Name: First Last
T-Number (University Identification Number with letter "T" included):
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: - ### - ### ####
REQUEST INFORMATION
Please choose the option that you are appealing:
Which area (Residence Halls or Tech Village Apartments) is this request for?
If this appeal is the result of a room/apartment charge of any kind, please give us the room/apartment number in which the charges occureed:
Please choose the request period:
Please give the appropriate support for your appeal. Please be as detailed as possible:
By submitting this form, you agree and understand the following: (1) the request is not guaranteed to be granted; (2) requests are commonly reviewed within 24 to 48 hours but more time may be necessary to review the request; (3) you will receive notification of a decision via your Tech email address; (4) we may notify by letter or phone calls if we deem necessary; (5) we do not remove any applicable housing holds until a decision is/if approved.

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