Intent to Stay on Campus
BLC will be transitioning to online classes through Tuesday, April 14. Residential Halls and Campus Food Service will be open for students who are unable to go home during this period. The rest of campus will be closed with the exception of Memorial Library, Mayo Health Services, and Christian Family Solutions. Students must use this form to declare their intent to stay on campus during this period.
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Email *
First Name *
Last Name *
Student ID *
Res Halls and Room Number *
Home Address (City and State or City and Home Country) **NOT 700 Luther Drive** *
I intend to stay on campus since I *
I have the following dietary restrictions (i.e. gluten-free, dairy-free, etc):
I would like Res Life to be aware that I have the following medical condition:  
If I were to get sick or injured, I give Res Life permission to call this local person (include contact information):
In my room, I have the tech and other supplies I need in order to complete classes online.
Clear selection
If no, please share with us your needs so that we can do our best to provide to you supplies (i.e. laptop).
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