Goshen College - Off-Campus Housing Confirmation-Application

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You do not need to fill this form out if you are living on campus this fall.

Name *

Student ID Number *

Email *

Mobile Phone # *

High School Graduation Year

Address of Off-Campus Home *

Where you plan to live while attending classes at Goshen College.

Which Semester is this Confirmation For? *

Check all that Apply

Fall 2023

Spring 2024

Other:

Required

I make my request on the following Premise. *

I understand that all single, full-time (12 semester hours) students at Goshen College are required to live on campus, but that exceptions may be made in the following situations. Full restitution of room and board fees will be expected if students are dishonest and attempt to bypass the residency requirements.

I will be living with my parents or legal guardians (If Chosen See Above))

I will be a part time student taking less than 12 credit hours

I will be 23 years old before Dec. 31st

I will have earned at least 112 credit hours prior to July 1st (2019 HS Grads or Before))

I require special care as prescribed by a medical doctor. (Provide Information Below)

I have a special situation not referred to in the above statements which warrants review.

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