Application Change Request

269 Clement Hall

Martin, TN 38238

Ph:

(731) 881-7730

(800) 829-UTM1

Em:

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

 

 


 

 

I wish to change my second choice assignment to

 

 


 

I wish to change my third choice assignment to

 

 


 

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.

 

 


Please enter the words exactly as they appear in the field provided below, then click the submit button.

It may take a moment to process your request. Please, do not click the submit button multiple times.