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Office of Housing
269 Clement Hall
University of TN at Martin
Martin, TN 38238
(731) 881-7730
(800) 829-UTM1
Director: Earl Wright


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Office of Housing - Application Change Request

Please complete the below form if you need to request a change to your Housing application. If you are requesting to add a suitemate or roommate to your application, please note that all such requests must be mutual.

 

Note: If you are currently living on campus and want to make a change to your current living arrangement, contact your Hall Director and do not complete this form.

 

Date:
First Name:
Middle name:
Last Name:
Student ID Number:
Email:

 

Please select the items you wish to change on your application:

I wish to change my housing application.

I wish to change my first choice assignment to
Please note that if you have only applied for Browning Hall, Ellington Hall, and Cooper Hall with a $100.00 Pre Payment and want to change to University Village A-H, an additonal $50.00 deposit will be required.

 

I wish to change my second choice assignment to
Please note that if you have only applied for Browning Hall, Ellington Hall, and Cooper Hall with a $100.00 Pre Payment and want to change to University Village A-H, an additonal $50.00 deposit will be required.

 

I wish to change my third choice assignment to
Please note that if you have only applied for Browning Hall, Ellington Hall, and Cooper Hall with a $100.00 Pre Payment and want to change to University Village A-H, an additonal $50.00 deposit will be required.

 

I wish to request a roommate .

                   

Requested Roommates First Name
Requested Roommates Last Name
Requested Roommates Student ID Number

 

I wish to request a suitemate .

Requested Suitemates First Name
Requested Suitemates Last Name
Requested Suitemates Student ID Number

 

I wish to request a suitemate .

Requested Suitemates First Name
Requested Suitemates Last Name
Requested Suitemates Student ID Number

 

I wish to request a suitemate .

Requested Suitemates First Name
Requested Suitemates Last Name
Requested Suitemates Student ID Number

 

I wish to request a private room .

 

I wish to request a Corner Room .