Request to remain in the residence halls

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Name Name First Last
ID Number
Current Residence Hall
Room #
UTA Email Address
Current Phone # Current Phone # - ### - ### ####
I am requesting an exception to stay in a Residence Hall because:

I am requesting an exception to stay in a Residence Hall because: I am an international student without other housing available to me I am conducting research on campus I have aged out of foster care and do not have a permanent home Other
If you selected other please provide a detailed explanation as to why your request should be granted:
Please upload any supporting documents
• For students who are doing research – a letter from your faculty advisor.
• For students’ who have aged out of foster care – a letter from their PAL supporting this status or a tuition waiver letter.

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