Division of Student Affairs

Application to Stay Late in Residence Halls Spring 2004

This form must be submitted to The Office of Residential Life by 4:30 p.m. on Monday May 10, 2004

Name: (First, Last)
ID Number:
Current Housing Assignment:  Area 
(Please make sure you choose the CORRECT building {and wing if applicable} from the drop down box)
Room/Apt. #: 
Current Phone Extension:
E-mail Address:
Campus Box #:
Extension Requested Until: (mm/dd/yyyy)
Reason for extension: 
 
Note: If you are a registered summer school student and have applied for summer housing, you must request permission to remain on campus during the period prior to the beginning of summer school.

By submitting this form I understand that I will be allowed to stay beyond 24 hours after my last final exam ONLY if this request is granted.  I further understand that I must abide by all University policies during this stay and that failure to do so may result in a revocation of the late stay application.

This form is due to The Office of Residential Life by 4:30 p.m. on Monday, May 10, 2004.  Applications received after this date will not be honored.  Thank you.
Tel: 860-768-7792
Fax: 860-768-7902
Email: reslife@hartford.edu
200 Bloomfield Ave
West Hartford CT, 06117
Monday - Friday
8:30AM - 7:00PM 		Saturday - Sunday
12:00PM - 7:00PM