Housing Cancellation Request Form
Please note that submitting this form DOES NOT guarantee that your request to be released from your Housing License Agreement will be approved. For any/all questions related to your Housing License Agreement and/or your intent to cancel your Housing License Agreement, please email residenital_life@nmt.edu - Thank you!
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Student Demographics
Name
*
First Name
Last Name
Student Email
*
Example: Jane.Doe@student.nmt.edu
Student ID # (900#)
*
Example: 900XXXXXX
Cell Phone Number
*
Please enter a valid phone number.
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Cancellation Request Details
What is the current semester/term?
*
Please Select
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Spring 2026
Summer 2026
Fall 2026
What is your current residential location?
*
Torres Hall
Baca Hall
Alta Hall
South Hall
West Hall
Presidents Hall
Driscoll Hall
What semester/term do you want to cancel?
*
Please Select
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Spring 2026
Summer 2026
Fall 2026
Do you want to cancel more than one semester/term? If so, which semesters/terms do you want to cancel? Please list all that apply - Put "N/A" if this doesn't apply to you.
*
Example: Fall 2026 & Spring 2026
Do you wish to be released from the financial obligations associated with your Housing License Agreement?
Yes
No
Doesn't Matter
Why do you wish to cancel your Housing License Agreement?
*
Have you discussed your concerns with any of the Professional Staff in the Office of Housing & Residential Life? Please explain.
*
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Supplemental Documentation Upload
Please note that if no supplemental documentation is provided for requests submitted AFTER the 'open cancellation dates' for the respective semesters/terms of your cancellation request, then your request will AUTOMATICALLY be denied.
Supplemental Documentation - File 1
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Choose a file
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Supplemental Documentation - File 2
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Supplemental Documentation - File 3
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Supplemental Documentation - File 4
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Student Signature
By signing below, you are signifying/agreeing that you have read Housing & Residential Life's 'Housing Cancellation Policy', have completely and accurately completed this form, AND have provided the necessary supplemental documentation to support your Housing Cancellation Request.
Signature
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